| S Gewaid Dds, Professional Dental Corporation | |
|
470 N. 3rd Ave. Upland CA 91786-4703 | |
| (909) 982-9800 | |
| (909) 982-8500 |
| Full Name | S Gewaid Dds, Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 470 N. 3rd Ave., Upland, California |
| Authorized Official Name and Position | Shenouda Fathy Gewaid (OWNER) |
| Authorized Official Contact | 9099829800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Gewaid Dds, Professional Dental Corporation 470 N. 3rd Ave. Upland CA 91786 Ph: (909) 982-9800 | S Gewaid Dds, Professional Dental Corporation 470 N. 3rd Ave. Upland CA 91786-4703 Ph: (909) 982-9800 |
| NPI Number | 1356563084 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356563084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49753 (California) | Primary |
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