Organization
NIETO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA M NIETO (OWNER)
(760) 771-8887
Entity
Organization
Contact information
Practice address
78995 HIGHWAY 111 STE 3, LA QUINTA, CA 92253-2397
(760) 771-8887
Mailing address
78995 HIGHWAY 111 STE 3, LA QUINTA, CA 92253-2397
(760) 771-8887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
02/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up