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Organization
ELVIA JUAREZ A DENTAL CORPORATION
Active
Organization
ELVIA JUAREZ A DENTAL CORPORATION
Active
Other names
EJ Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIA JUAREZ-MATA DDS (OWNER)
(760) 775-5552
Entity
Organization
Contact information
Practice address
3333 W RAMSEY ST, BANNING, CA 92220-3503
(760) 775-5552
Mailing address
82204 US HIGHWAY 111, INDIO, CA 92201-5630
(760) 775-5552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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