Organization
JEFFREY DHARMAWAN DDS.INC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DHARMAWAN DDS (DENTIST)
(909) 825-1155
Entity
Organization
Contact information
Practice address
190 W H ST SUITE 100, COLTON, CA 92324
(909) 825-1155
(909) 825-0275
Mailing address
190 W H ST STE 100, COLTON, CA 92324-2937
(909) 825-1155
(909) 825-0275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33276
CA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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