| Dap Health - Mobile Dental Unit #8 | |
|
58581 Us Highway 371 Ste Fgh Anza CA 92539-9331 | |
| (760) 323-2118 | |
| Not Available |
| Full Name | Dap Health - Mobile Dental Unit #8 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 58581 Us Highway 371 Ste Fgh, Anza, California |
| Authorized Official Name and Position | Judy Stith (CFO) |
| Authorized Official Contact | 7609694516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dap Health - Mobile Dental Unit #8 1695 N Sunrise Way Palm Springs CA 92262-3701 Ph: (760) 323-2118 | Dap Health - Mobile Dental Unit #8 58581 Us Highway 371 Ste Fgh Anza CA 92539-9331 Ph: (760) 323-2118 |
| NPI Number | 1104501691 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104501691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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