Organization
HUQ DDS INC
Active
Other names
Jeffeson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYEDA SHABNAM HUQ (OWNER/ DENTIST)
(760) 775-0600
Entity
Organization
Contact information
Practice address
79800 HIGHWAY 111 STE 109, LA QUINTA, CA 92253-6003
(760) 775-0600
(760) 775-0663
Mailing address
79800 HIGHWAY 111 STE 109, LA QUINTA, CA 92253-6003
(760) 775-0600
(760) 775-0663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/26/2021
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