Organization
AGHALOO, DDS, INC.
Active
Other names
Shadow Hills Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TATUM E ZAPPIA (INSURANCE COORDINA)
(760) 343-7737
Entity
Organization
Contact information
Practice address
39620 WASHINGTON ST. SUITE C, PALM DESERT, CA 92211
(760) 343-7737
(760) 343-7682
Mailing address
39620 WASHINGTON ST. SUITE C, PALM DESERT, CA 92211
(760) 343-7737
(760) 343-7682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51184
CA
Other
Enumeration date
09/21/2012
Last updated
08/30/2018
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