Organization
S MERCHANT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY AMIT MERCHANT DDS (OWNER)
(626) 968-3793
Entity
Organization
Contact information
Practice address
11201 SIERRA AVE STE 1F, FONTANA, CA 92337-7581
(909) 822-9090
(909) 822-9094
Mailing address
949 IRONSHOE CT, WALNUT, CA 91789-0909
(909) 957-8267
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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