| Dr. Samra Dental Corp | |
|
1667 N Mountain Ave Ste 125 Upland CA 91784-1781 | |
| (909) 981-4711 | |
| Not Available |
| Full Name | Dr. Samra Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1667 N Mountain Ave Ste 125, Upland, California |
| Authorized Official Name and Position | Bhupinder Samra (PRESIDENT) |
| Authorized Official Contact | 9093795060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Samra Dental Corp 2143 N Tustin St Ste 5 Orange CA 92865-3709 Ph: (909) 379-5060 | Dr. Samra Dental Corp 1667 N Mountain Ave Ste 125 Upland CA 91784-1781 Ph: (909) 981-4711 |
| NPI Number | 1437723152 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437723152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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