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Organization
SUMABAT DENTAL CORPORATION
Active
Organization
SUMABAT DENTAL CORPORATION
Active
Parent organization
SUMABAT DENTAL CORPORATION
Other names
Sumabat Dental at Indio
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMABAT DENTAL CORPORATION
Authorized official
DR. RAMON SUMABAT D.D.S. (PRESIDENT)
(760) 320-6230
Entity
Organization
Contact information
Practice address
43990 GOLF CENTER PKWY, B-4, INDIO, CA 92203-5001
(760) 347-3767
Mailing address
43990 GOLF CENTER PKWY, B-4, INDIO, CA 92203-5001
(760) 347-3767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS42426-3
DENTI-CAL
CA
Enumeration date
03/23/2010
Last updated
09/13/2015
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