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Organization
DOYLE R. NICK, DDS, INC.
Active
Organization
DOYLE R. NICK, DDS, INC.
Active
Other names
Indio Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA JESSON RN (ADMINISTRATOR)
(760) 396-5733
Entity
Organization
Contact information
Practice address
46900 MONROE ST, SUITE B201, INDIO, CA 92201-4827
(760) 396-5733
(760) 396-5723
Mailing address
46900 MONROE ST STE B201, INDIO, CA 92201-4827
(760) 396-5733
(760) 396-5723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93862-01
DENTICAL PROVIDER NUMBER
CA
Enumeration date
04/11/2007
Last updated
09/02/2025
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