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Organization
SUMILAT DDS, INC.
Active
Organization
SUMILAT DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SUMILAT DDS (C.E.O.)
(909) 824-3126
Entity
Organization
Contact information
Practice address
11481 HEACOCK ST STE 160, MORENO VALLEY, CA 92557-7906
(909) 824-3126
Mailing address
3053 PRADO LN, COLTON, CA 92324-9545
(909) 824-3126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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