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Organization

DFDD CLINICAL SERVICES

Active
Parent organization
DESERT FRIENDS OF THE DEVELOPMENTALLY DISABLED
Other names
We Care Dental Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DESERT FRIENDS OF THE DEVELOPMENTALLY DISABLED
Authorized official
RUSSELL W BENSON (TREASURER)
(760) 832-6555
Entity
Organization

Contact information

Practice address
42900 BOB HOPE DR, SUITE 111, RANCHO MIRAGE, CA 92270-4442
(760) 832-6555
Mailing address
42900 BOB HOPE DR, SUITE 111, RANCHO MIRAGE, CA 92270-4442
(760) 832-6555

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21578
CA

Other

Enumeration date
07/28/2011
Last updated
07/28/2011
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