| San Bernardino Dental Group | |
|
575 W 5th St San Bernardino CA 92401-1301 | |
| (909) 884-6125 | |
| (909) 885-7556 |
| Full Name | San Bernardino Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 575 W 5th St, San Bernardino, California |
| Authorized Official Name and Position | Sam Daniel Dason (PRESIDENT) |
| Authorized Official Contact | 9098846125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino Dental Group 575 W 5th St San Bernardino CA 92401-1301 Ph: (909) 884-6125 | San Bernardino Dental Group 575 W 5th St San Bernardino CA 92401-1301 Ph: (909) 884-6125 |
| NPI Number | 1831226695 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831226695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41386 (California) | Primary |
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