Organization
ANDREW MIKHAIL DENTAL CORPORATION
Active
Other names
Upland Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW K MIKHAIL DDS (OWNER)
(909) 657-1089
Entity
Organization
Contact information
Practice address
817 W FOOTHILL BLVD, UPLAND, CA 91786-3727
(909) 657-1089
(909) 654-3009
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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