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Organization
W.A. SAMAAN DDS INC
Active
Organization
W.A. SAMAAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WASSEEM ALPHONSE SAMAAN DDS (OWNER/DENTIST)
(909) 860-3111
Entity
Organization
Contact information
Practice address
750 N DIAMOND BAR BLVD STE 216, DIAMOND BAR, CA 91765-1023
(909) 860-3111
Mailing address
750 N DIAMOND BAR BLVD STE 216, DIAMOND BAR, CA 91765-1023
(909) 860-3111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29658
CA
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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