| Dr Elvia Juarez-mata, DDS | |
|
82204 Us Highway 111, Indio, CA 92201-5630 | |
| (760) 775-5552 | |
| (760) 775-5002 |
| Full Name | Dr Elvia Juarez-mata |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 82204 Us Highway 111, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689710626 | NPI | - | NPPES |
| 1003982638 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41625 (California) | Primary |
| Entity Name | Elvia Juarez a Dental Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285796532 PECOS PAC ID: 9133522147 Enrollment ID: O20210728003801 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elvia Juarez-mata, DDS 82204 Us Highway 111, Indio, CA 92201-5630 Ph: (760) 775-5552 | Dr Elvia Juarez-mata, DDS 82204 Us Highway 111, Indio, CA 92201-5630 Ph: (760) 775-5552 |
Gregory Shain, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 81735 Us Highway 111, Indio, CA 92201 Phone: 760-391-4466 |
Trang Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 41429 Doyle St, Indio, CA 92203 Phone: 408-656-2854 |
Dr. Irma Alenadra Tijerina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 42250 Jackson St, Indio, CA 92203 Phone: 760-238-4011 |
Jennifer Ngoc Bui, Dentist Medicare: Not Enrolled in Medicare Practice Location: 82151 Avenue 42 Ste 110, Indio, CA 92203 Phone: 760-255-7597 |
Hyun Il Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 81812 Dr Carreon Blvd Ste B, Indio, CA 92201 Phone: 760-296-1865 |
Mrs. Maria A Vazquez, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 45975 Fargo St Ste 1, Indio, CA 92201 Phone: 760-775-3368 |
Ana Karen Zavala Miranda, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 82204 Us Highway 111, Indio, CA 92201 Phone: 760-775-5552 |