Organization
SINA NIA, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINA NIA (OWNER)
(408) 355-5550
Entity
Organization
Contact information
Practice address
12810 HEACOCK ST STE B103, MORENO VALLEY, CA 92553-3171
(951) 242-3441
(949) 289-9218
Mailing address
12810 HEACOCK ST STE B103, MORENO VALLEY, CA 92553-3171
(951) 242-3441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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