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Organization
ELVIA JUAREZ A DENTAL CORPORATION
Active
Organization
ELVIA JUAREZ A DENTAL CORPORATION
Active
Other names
Elvia Juarez a Dental Corporation, EJ Dental Practice of Dr. Elvia Juarez DDS
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIA JUAREZ MATA (PRESIDENT/ DDS)
(760) 775-5552
Entity
Organization
Contact information
Practice address
30877 DATE PALM DR STE B4, CATHEDRAL CITY, CA 92234-2957
(760) 202-7400
(760) 202-7403
Mailing address
30877 DATE PALM DR STE B4, CATHEDRAL CITY, CA 92234-2957
(760) 202-7400
(760) 202-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41625
CA
Other
Enumeration date
11/27/2006
Last updated
08/17/2021
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