Organization · Type 2 NPI

The School-Aged Gap Elimination Initiative, Inc

Dental Clinic/Center · Indio, CA

NPI number 1689025843 Active

Practice location

82900 Avenue 42 Ste B103
Indio, CA 92203-9657

Fax (760) 278-2172

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1689025843

The School-Aged Gap Elimination Initiative, Inc's National Provider Identifier is 1689025843, issued on Jun 28, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indio, CA. The record was last updated on Sep 3, 2019.