Sumabat Dental Corporation

NPI #1033433867 in Indio, California

Provider Information

NPI Number: 1033433867
Entity Type: Organization
Organization Name: Sumabat Dental Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SUMABAT DENTAL CORPORATION
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2010
Last Updated: Sep 13, 2015

Practice Location

Address: 43990 GOLF CENTER PKWY
Address 2: B-4
City: Indio
State: California
ZIP Code: 92203-5001
Phone: (760) 347-3767

Authorized Official

Name: DR. RAMON SUMABAT, D.D.S.
Title: PRESIDENT
Phone: (760) 320-6230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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