| Brightnow Dental Upland | |
|
280 S Mountain Ave Upland CA 91786-7029 | |
| (909) 285-3160 | |
| (909) 982-0354 |
| Full Name | Brightnow Dental Upland |
|---|---|
| Speciality | Dentist |
| Location | 280 S Mountain Ave, Upland, California |
| Authorized Official Name and Position | Shorouq Sahawneh (PRESIDENT) |
| Authorized Official Contact | 9092853160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightnow Dental Upland 280 S Mountain Ave Upland CA 91786-7029 Ph: (909) 285-3160 | Brightnow Dental Upland 280 S Mountain Ave Upland CA 91786-7029 Ph: (909) 285-3160 |
| NPI Number | 1962799346 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962799346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55643 (California) | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
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