Organization
S A DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHWAN R MOHAMMED (PRESIDENT)
(619) 457-7008
Entity
Organization
Contact information
Practice address
15555 MAIN ST STE C3, HESPERIA, CA 92345-3423
(760) 244-5600
Mailing address
15555 MAIN ST STE C3, HESPERIA, CA 92345-3423
(619) 457-7008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/24/2025
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