Sulaeman Professional Dental, Inc.
NPI #1063537538 in San Bernardino, California
Provider Information
- NPI Number
- 1063537538
- Entity Type
- Organization
- Organization Name
- Sulaeman Professional Dental, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 25054 BASE LINE ST
- City
- San Bernardino
- State
- California
- ZIP Code
- 92410-4026
- Phone
- (909) 889-9591
Authorized Official
- Name
- DR. AUDREY INDHIRA SULAEMAN, D.D.S
- Title
- DENTIST
- Phone
- (909) 889-9591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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