San Antonio Dental Office Elvia Juarez Dental Corp

NPI #1205906872 in Coachella, California

Provider Information

NPI Number: 1205906872
Entity Type: Organization
Organization Name: San Antonio Dental Office Elvia Juarez Dental Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 51335 HARRISON ST
Address 2: SUITE 107
City: Coachella
State: California
ZIP Code: 92236
Phone: (760) 398-9848

Authorized Official

Name: ELVIA JUAREZ MATA, DDS
Title: DENTIST
Phone: (760) 398-9848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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