# SAMIR BATNIJI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548358740
- **Authorized official:** DR. SAMIR BATNIJI DDS (PRESIDENT)
- **Authorized official phone:** (909) 396-9944

## Contact information

- **Practice address:** 1111 S GRAND AVE, SUITE D, DIAMOND BAR, CA 91765
- **Practice address phone:** (909) 396-9944
- **Practice address fax:** (909) 396-9984
- **Mailing address:** 1111 S GRAND AVE, SUITE D, DIAMOND BAR, CA 91765
- **Mailing address phone:** (909) 396-9944
- **Mailing address fax:** (909) 396-9984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 37081 | CA | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 04/30/2013