OrganizationActive
Nieto Dental Corp
NPI 1265087985 · Oral and Maxillofacial Surgery Clinic/Center · La Quinta, CA
Provider details
- NPI number
- 1265087985
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angelica Nieto, Owner(760) 771-8887
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Practice location
78995 Highway 111 Ste 3
La Quinta, CA 92253-2397
Phone: (760) 771-8887
Approximate (ZIP-level) locationGet directions
Mailing address
78995 Highway 111 Ste 3
La Quinta, CA 92253-2397
Registry dates
- Enumerated
- 2019-08-08
- Last updated
- 2021-02-15
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.