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ELVIA JUAREZ A DENTAL CORPORATION NPI 1003982638


NPI Information

NPI: 1003982638
Provider Name: ELVIA JUAREZ A DENTAL CORPORATION

Doing Business As: EJ DENTAL PRACTICE OF DR. ELVIA JUAREZ DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
30877 DATE PALM DR STE B4
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 202-7400
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ELVIA JUAREZ A DENTAL CORPORATION is a general practice dentist in Cathedral City, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ELVIA JUAREZ A DENTAL CORPORATION NPI is 1003982638. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ej Dental Practice Of Dr. Elvia Juarez Dds.

The provider's business location address is:

30877 DATE PALM DR STE B4
CATHEDRAL CITY, CA
ZIP 92234-957
Phone: (760) 202-7400
Fax: (760) 202-7403

The provider's authorized official is Elvia Juarez Mata .
The authorized official title is President/ Dds and has the following contact phone number (760) 775-5552.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 8/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice41625CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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