Organization
ANNETTE BAK MORANDA DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE BAK MORANDA DDS (OWNER)
(760) 321-8003
Entity
Organization
Contact information
Practice address
40055 BOB HOPE DR, SUITE G, RANCHO MIRAGE, CA 92270-3937
(760) 321-8003
(760) 321-9584
Mailing address
40055 BOB HOPE DR, SUITE G, RANCHO MIRAGE, CA 92270-3937
(760) 321-8003
(760) 321-9584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48701
CA
Other
Enumeration date
02/14/2008
Last updated
12/30/2009
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