Nieto Dental Corp

NPI #1265087985 in La Quinta, California

Provider Information

NPI Number
1265087985
Entity Type
Organization
Organization Name
Nieto Dental Corp
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Aug 8, 2019
Last Updated
Feb 15, 2021

Practice Location

Address
78995 HIGHWAY 111 STE 3
ZIP Code
92253-2397
Phone
(760) 771-8887

Authorized Official

Name
ANGELICA M NIETO
Title
OWNER
Phone
(760) 771-8887

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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