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Doyle R. Nick, DDS, INC.

Dentist, General Practice in Indio, CA. Organization (NPI-2).

NPI number1609090968
StatusActive
Last updated in NPPESSep 2, 2025

Details

NPI
1609090968
Entity type
Organization (NPI-2)
Legal business name
Doyle R. Nick, DDS, INC.
Organization subpart
No
Enumeration date
Apr 11, 2007
Certification date
May 28, 2025
Last updated
Sep 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice20615CAYes

Other names

  • Indio Surgery Center (Doing Business As)

Practice location

46900 Monroe St
Suite B201
Indio, CA 92201-4827

Phone 760-396-5733 · Fax 760-396-5723

Mailing address

46900 Monroe St Ste B201
Indio, CA 92201-4827

Phone 760-396-5733 · Fax 760-396-5723

Authorized official

Diana Jesson
Administrator
7603965733

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