Organization
SAMUEL DEMIRDJI, DDS, MS, INC
Active
Other names
SDOrthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DEMIRDJI D.D.S. , M.S. (PRESIDENT)
(909) 864-6510
Entity
Organization
Contact information
Practice address
7199 BOULDER AVE, SUITE 5, HIGHLAND, CA 92346-3398
(909) 864-6510
(909) 864-7410
Mailing address
7199 BOULDER AVE, SUITE 5, HIGHLAND, CA 92346-3398
(909) 864-6510
(909) 864-7410
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48447
CA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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