Myriam Mahaffey Dental Corporation
NPI #1215162755 in La Quinta, California
Provider Information
- NPI Number
- 1215162755
- Entity Type
- Organization
- Organization Name
- Myriam Mahaffey Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 28, 2009
- Last Updated
- May 28, 2009
Practice Location
- Address
- 50855 WASHINGTON ST
- Address 2
- SUITE 2G
- City
- La Quinta
- State
- California
- ZIP Code
- 92253-2891
- Phone
- (760) 234-6497
Authorized Official
- Name
- DR. MYRIAM MAHAFFEY, D.D.S
- Title
- OWNER
- Phone
- (760) 234-6497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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