| Sdorthodontics | |
|
7199 Boulder Ave Suite 5 Highland CA 92346-3398 | |
| (909) 864-6510 | |
| (909) 864-7410 |
| Full Name | Sdorthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7199 Boulder Ave, Highland, California |
| Authorized Official Name and Position | Samuel Demirdji (PRESIDENT) |
| Authorized Official Contact | 9098646510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdorthodontics 7199 Boulder Ave Suite 5 Highland CA 92346-3398 Ph: (909) 864-6510 | Sdorthodontics 7199 Boulder Ave Suite 5 Highland CA 92346-3398 Ph: (909) 864-6510 |
| NPI Number | 1144610247 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144610247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 48447 (California) | Primary |
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