Organization · Type 2 NPI

Elvia Juarez A Dental Corporation

General Practice Dentistry · Cathedral City, CA

NPI number 1003982638 Active

Practice location

30877 Date Palm Dr Ste B4
Cathedral City, CA 92234-2957

Fax (760) 202-7403

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	41625 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1003982638
Entity type: Organization (Type 2)
Issued: Nov 27, 2006
Last updated: Aug 17, 2021
Status: Active

Other names

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Ej Dental Practice of Dr. Elvia Juarez DDS · doing business as
Elvia Juarez A Dental Corporation · other name

Authorized official

Elvia Juarez Mata
President/ DDS
(760) 775-5552

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003982638

Elvia Juarez A Dental Corporation's National Provider Identifier is 1003982638, issued on Nov 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cathedral City, CA. The record was last updated on Aug 17, 2021.