# AGHALOO, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadow Hills Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831440502
- **Authorized official:** TATUM E ZAPPIA (INSURANCE COORDINA)
- **Authorized official phone:** (760) 343-7737

## Contact information

- **Practice address:** 39620 WASHINGTON ST. SUITE C, PALM DESERT, CA 92211
- **Practice address phone:** (760) 343-7737
- **Practice address fax:** (760) 343-7682
- **Mailing address:** 39620 WASHINGTON ST. SUITE C, PALM DESERT, CA 92211
- **Mailing address phone:** (760) 343-7737
- **Mailing address fax:** (760) 343-7682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 51184 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 08/30/2018
