Sooho Joe,dds,inc
Dentist, General Practice in Coachella, CA. Organization (NPI-2).
NPI number1235337692
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1235337692
- Entity type
- Organization (NPI-2)
- Legal business name
- Sooho Joe,dds,inc
- Organization subpart
- No
- Enumeration date
- Jul 6, 2007
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 48473 | CA | Yes |
Other names
- Sooho Joe DDS INC (Doing Business As)
Practice location
51807 Harrison St Ste 102-103Coachella, CA 92236-1524
Phone 760-398-9288 · Fax 760-398-9215
Mailing address
51807 Harrison St Ste 102-103Coachella, CA 92236-1524
Phone 760-398-9288 · Fax 760-398-9215
Authorized official
Sooho Joe
President
7603989288
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