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Organization
S GEWAID DDS, PROFESSIONAL DENTAL CORPORATION
Active
Organization
S GEWAID DDS, PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHENOUDA FATHY GEWAID DDS (OWNER)
(909) 982-9800
Entity
Organization
Contact information
Practice address
470 N. 3RD AVE., UPLAND, CA 91786-4703
(909) 982-9800
(909) 982-8500
Mailing address
470 N. 3RD AVE., UPLAND, CA 91786
(909) 982-9800
(909) 982-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49753
CA
Other
Enumeration date
05/03/2007
Last updated
08/23/2022
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