| Organization Name: | OK DENTAL PARTNERSHIP DBA SOUTHWEST DENTAL |
| NPI Number: | 1225364193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRISHA R OVANESIAN (PARTNER) |
| Mailing Address: | 68820 Ramon Rd Cathedral City |
| State: | CA US |
| Postal Code: | 922343337 |
| Phone Number: | 7607700236 |
| Fax Number: | 7607709758 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |