Individual
SAM JAMEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2340 LEBANON PIKE, NASHVILLE, TN 37214-2411
(909) 546-7064
Mailing address
260 W FOOTHILL BLVD, RIALTO, CA 92376-5048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102404
CA
1223P0300X
Periodontics
Primary
12438
TN
Other
Enumeration date
05/05/2018
Last updated
08/29/2024
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