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Contact Information

DESERT FAMILY DENTISTRY
1501 OCOTILLO DRIVE
SUITE A
EL CENTRO, CA92243
 Phone: 760-337-8868
 Fax: 760-337-8898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DESERT FAMILY DENTISTRY

NPI Number 1134296429
LBN Legal business name DESERT FAMILY DENTISTRY
Authorized official GOLNAR BERENJI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 01/05/2015 - About 11 years ago
Identifiers
CA License # 25517
CA License # 40776
CA License # 44256
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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