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Organization
EHABSAMAAN DDS INC
Active
Organization
EHABSAMAAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB SAMAAN DDS (PRESIDENT)
(951) 343-0505
Entity
Organization
Contact information
Practice address
1358 W 6TH ST, CORONA, CA 92882-3167
(951) 734-4620
Mailing address
2322 OLD HERITAGE RD, RIVERSIDE, CA 92503-0631
(951) 343-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49798
CA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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