Portola Dental Group
Portola Dental Group is a Preferred Provider Organization in Palm Desert, California. Licensed in California and Oklahoma. Registered with an NPI since 2013.
- Licensed in
- CA, OK
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
44853 Portola Ave Ste BPalm Desert, CA 92260
Phone: (760) 346-1414
Fax: (760) 346-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 51212 (OK) |
|---|---|
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 36169 (CA) |
Record details
| NPI number | 1396175071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marc Leblanc — Dentist · (760) 346-1414 |
| NPI enumerated | November 18, 2013 |
| Last updated in NPPES | November 18, 2013 |
| Mailing address | 44853 Portola Avenue, Ste B, Palm Desert, CA 92260 |
Other providers in Palm Desert
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Ds Patel DDS Inc
72608 El Paseo Suit #10, Palm Desert, CA 92260-3373 · (760) 340-9645