Organization
J. SIDERMAN DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SIDERMAN DDS (OWNER)
(562) 246-9989
Entity
Organization
Contact information
Practice address
9202 ALONDRA BLVD, BELLFLOWER, CA 90706-4210
(562) 246-9989
(562) 263-9667
Mailing address
9202 ALONDRA BLVD, BELLFLOWER, CA 90706-4210
(562) 246-9989
(562) 263-9667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41789
CA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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