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280 S Mountain Ave Upland CA 91786-7029 | |
| (909) 982-3160 | |
| (909) 982-0354 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 280 S Mountain Ave, Upland, California |
| Authorized Official Name and Position | Shorouq Sahawneh (OWNER DENTIST) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 Ph: (714) 578-6358 | 280 S Mountain Ave Upland CA 91786-7029 Ph: (909) 982-3160 |
| NPI Number | 1780068825 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 07/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780068825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
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Dat Nguyen, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 N Central Ave, Upland, CA 91786 Phone: 909-982-5960 Fax: 909-982-7694 | |
Vikas Sikka Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Foothill Blvd Ste E, Upland, CA 91786 Phone: 909-226-6006 | |
Andrew Mikhail Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Foothill Blvd, Upland, CA 91786 Phone: 909-657-1089 Fax: 909-654-3009 |