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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1609039114 |
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| LBN Legal business name | DESERT PALM SURGICAL GROUP | ||||||||
| Authorized official | MICHELLE CABRET-CARLOTTI - (OWNER/SURGEON) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/03/2008 | ||||||||
| Last updated | 07/03/2008 - About 18 years ago | ||||||||
| Identifiers |
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DESERT PALM SURGICAL GROUP
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DESERT PALM SURGICAL GROUP