Organization
THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS
Active
Other names
The Smile Factory for the Children of the Desert
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON KAY STEVENS (EXECUTIVE DIRECTOR)
(760) 318-2465
Entity
Organization
Contact information
Practice address
1140 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 318-2465
Mailing address
100 S SUNRISE WAY, A-409, PALM SPRINGS, CA 92262-6778
(760) 318-2465
(760) 406-6155
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G98491-01
DELTA DENTAL
CA
Enumeration date
12/04/2007
Last updated
12/04/2007
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