Individual
DR. SAMUEL A DEMIRDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
7199 BOULDER AVE STE 5, HIGHLAND, CA 92346-3398
(909) 864-6510
Mailing address
7199 BOULDER AVE STE 5, HIGHLAND, CA 92346-3398
(909) 864-6510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48447
CA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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