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Organization
DEVINDERPAL SINGH NAGRA
Active
Organization
DEVINDERPAL SINGH NAGRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D S NAGRA (OWNER)
(909) 215-7937
Entity
Organization
Contact information
Practice address
815 W HOLT BLVD STE 402, ONTARIO, CA 91762-3681
(909) 635-0444
Mailing address
815 W HOLT BLVD STE 402, ONTARIO, CA 91762-3681
(909) 635-0444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9030104
DENTICAL ID
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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