Organization
GRISHA R. OVANESIAN DDS INC
Active
Other names
SouthWest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRISHA R OVANESIAN DDS (DENTIST DDS)
(760) 770-0236
Entity
Organization
Contact information
Practice address
68820 RAMON RD. SOUTHWEST DENTAL, CATHEDRAL CITY, CA 92234
(760) 770-0236
(760) 770-9758
Mailing address
68820 RAMON RD. SOUTHWEST DENTAL, CATHEDRAL CITY, CA 92234
(760) 770-0236
(760) 770-9758
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225364193
OK DENTAL PARTNERSHIP
CA
Enumeration date
02/21/2023
Last updated
02/21/2023
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