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Organization
MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP
Active
Organization
MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP
Active
Other names
Mohamed Kays DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA L CHATMAN (OFFICE MANAGER)
(909) 982-3300
Entity
Organization
Contact information
Practice address
1635 N MOUNTAIN AVE, UPLAND, CA 91784-1732
(909) 982-3300
(909) 982-3350
Mailing address
1635 N MOUNTAIN AVE, UPLAND, CA 91784-1732
(909) 982-3300
(909) 982-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995
—
CA
Enumeration date
10/11/2017
Last updated
09/26/2018
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