| Mohamed Kays Dowaidari Dds Pc Delicate Dental Spa Dental Group | |
|
1635 N Mountain Ave Upland CA 91784-1732 | |
| (909) 982-3300 | |
| (909) 982-3350 |
| Full Name | Mohamed Kays Dowaidari Dds Pc Delicate Dental Spa Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1635 N Mountain Ave, Upland, California |
| Authorized Official Name and Position | Natasha L Chatman (OFFICE MANAGER) |
| Authorized Official Contact | 9099823300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed Kays Dowaidari Dds Pc Delicate Dental Spa Dental Group 1635 N Mountain Ave Upland CA 91784-1732 Ph: (909) 982-3300 | Mohamed Kays Dowaidari Dds Pc Delicate Dental Spa Dental Group 1635 N Mountain Ave Upland CA 91784-1732 Ph: (909) 982-3300 |
| NPI Number | 1508376989 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508376989 | NPI | - | NPPES |
| 01995 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53592 (California) | Primary |
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