DFDD Clinical Services

Primary specialty

DentistTaxonomy code 122300000X

License

21578 Issued in CA

Legal business name

DFDD CLINICAL SERVICES

Doing business as

We Care Dental Center

Practice address

42900 Bob Hope Dr
Suite 111
Rancho Mirage, CA 92270-4442

Phone

(760) 832-6555

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

DESERT FRIENDS OF THE DEVELOPMENTALLY DISABLEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell W Benson

Title

Treasurer

Phone

(760) 832-6555

Specialties & licenses 1

Addresses

Other names 1

• We Care Dental Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1447538228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42900 BOB HOPE DR",
            "address_2": "SUITE 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704442",
            "telephone_number": "760-832-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42900 BOB HOPE DR",
            "address_2": "SUITE 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704442",
            "telephone_number": "760-832-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFDD CLINICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FRIENDS OF THE DEVELOPMENTALLY DISABLED",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "760-832-6555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Care Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter Desha, PA
• Vincent Patrick Devlin Jr., DO, MHS
• Marianne K Dezelan, PAC
• Abigail Rose Dezern
• Massoud G Dezfuli, D.O.
• Mandeep Kaur Dhaliwal, M.D.
• Christopher Di Simone, M.D.
• Kirk Allan Dial
• Evangelos Aristotales Diamantakos, D.O.
• Daniel Diaz, FNP

• Dentist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.