Organization
RUSSELL SEHEULT, D.D.S., A PROFESSIONAL CORPORATION
Active
Other names
Redlands Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SEHEULT D.D.S. (OWNER)
(909) 335-0474
Entity
Organization
Contact information
Practice address
1180 NEVADA ST STE #100, REDLANDS, CA 92374-2894
(909) 335-0474
(909) 335-0477
Mailing address
1180 NEVADA ST STE #100, REDLANDS, CA 92374-2894
(909) 335-0474
(909) 335-0477
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SURO1267F
—
CA
Enumeration date
01/23/2007
Last updated
10/08/2019
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