Organization
S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION
Active
Parent organization
S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION
Other names
Montclair Plaza Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION
Authorized official
DR. SUTHEEP DAVE SRIKUREJA DDS (DENTIST)
(909) 920-0696
Entity
Organization
Contact information
Practice address
8660 CENTRAL AVE STE A, MONTCLAIR, CA 91763-1692
(909) 920-0696
(909) 920-0517
Mailing address
8660 CENTRAL AVE STE A, MONTCLAIR, CA 91763-1692
(909) 920-0696
(909) 920-0517
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
08/05/2021
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