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Organization
NASH SOURIAL DDS INC
Active
Organization
NASH SOURIAL DDS INC
Active
Other names
blu oasis dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASH SOURIAL DDS (OWNER)
(760) 342-2258
Entity
Organization
Contact information
Practice address
79845 HIGHWAY 111, SUITE 101, LA QUINTA, CA 92253-4758
(760) 342-2258
(760) 342-6258
Mailing address
79845 HIGHWAY 111, SUITE 101, LA QUINTA, CA 92253-4758
(760) 342-2258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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