Sahawneh Dental Corporation

NPI #1629453345 in La Verne, California

Provider Information

NPI Number: 1629453345
Entity Type: Organization
Organization Name: Sahawneh Dental Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SAHAWNEH DENTAL CORPORATION
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2015
Last Updated: Jul 23, 2015

Practice Location

Address: 2497 FOOTHILL BLVD
Address 2: SUITE E
City: La Verne
State: California
ZIP Code: 91750-3066
Phone: (909) 451-0329

Authorized Official

Name: SHOROUQ SAHAWNEH, DDS
Title: OWNER DENTIST
Phone: (714) 578-6358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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