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Organization

MATT T JAM DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATT TEIMOURI JAM DDS (OWNER)
(670) 347-7505
Entity
Organization

Contact information

Practice address
81730 HWY 111 SUITE 8, INDIO, CA 92201
(760) 347-7505
(760) 347-6425
Mailing address
81730 HWY 111 SUITE 8, INDIO, CA 92201
(760) 347-7505
(760) 347-6425

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/13/2007
Last updated
08/22/2020
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