Sahawneh Dental Corporation

NPI #1104200245 in La Quinta, California

Provider Information

NPI Number: 1104200245
Entity Type: Organization
Organization Name: Sahawneh Dental Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SAHAWNEH DENTAL CORPORATION
Primary Specialty: Dentist
Enumeration Date: Jul 18, 2015
Last Updated: Jul 18, 2015

Practice Location

Address: 79255 HIGHWAY 111
Address 2: SUITE 1A & 1B
City: La Quinta
State: California
ZIP Code: 92253-8301
Phone: (760) 771-1200

Authorized Official

Name: DR. SHOROUQ SAHAWNEH, DDS
Title: OWNER DENTIST
Phone: (714) 578-6358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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