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Organization
VAN BUREN MODERN DENTISTRY, PROF. CORP.
Active
Organization
VAN BUREN MODERN DENTISTRY, PROF. CORP.
Active
Other names
Van Buren Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED TAUQUEER SHAIKH (OWNER)
(951) 618-4079
Entity
Organization
Contact information
Practice address
20115 VAN BUREN BLVD, STE 100, RIVERSIDE, CA 92508
(951) 618-4079
(951) 616-3225
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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