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Individual

DR. ANNETTE BAK MORANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
39700 BOB HOPE DR STE 220, RANCHO MIRAGE, CA 92270-7111
(760) 346-8011
(760) 341-6836
Mailing address
80641 PHILADELPHIA AVE, INDIO, CA 92201-1818
(760) 346-8011
(760) 341-6836

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48701
CA

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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