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Organization
SUMABAT DENTAL CORPORATION
Active
Organization
SUMABAT DENTAL CORPORATION
Active
Other names
Sumabat Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON SUMABAT D.D.S. (PRESIDENT)
(760) 320-2780
Entity
Organization
Contact information
Practice address
285 S PALM CANYON DR, D-7, PALM SPRINGS, CA 92262-6355
(760) 320-2780
(760) 320-5790
Mailing address
285 S PALM CANYON DR, D-7, PALM SPRINGS, CA 92262-6355
(760) 320-2780
(760) 320-5790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42426-1
DENTI-CAL
CA
01
—
B42426-2
DENTI-CAL
CA
Enumeration date
10/02/2006
Last updated
03/18/2010
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