Organization
DR. SAMRA DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPINDER SAMRA DMD (PRESIDENT)
(909) 379-5060
Entity
Organization
Contact information
Practice address
1667 N MOUNTAIN AVE STE 125, UPLAND, CA 91784-1781
(909) 981-4711
Mailing address
2143 N TUSTIN ST STE 5, ORANGE, CA 92865-3709
(909) 379-5060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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