Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAN ANTONIO DENTAL OFFICE ELVIA JUAREZ DENTAL CORP
Active
Organization
SAN ANTONIO DENTAL OFFICE ELVIA JUAREZ DENTAL CORP
Active
Other names
San Antonio Dental Office Elvia Juarez Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIA JUAREZ MATA DDS (DENTIST)
(760) 398-9848
Entity
Organization
Contact information
Practice address
51335 HARRISON ST, SUITE 107, COACHELLA, CA 92236
(760) 398-9848
(760) 398-9877
Mailing address
51335 HARRISON ST, SUITE 107, COACHELLA, CA 92236
(760) 398-9848
(760) 398-9877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41625
CA
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up