Individual
SANDRA AZER SHENOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1199 N E ST, SAN BERNARDINO, CA 92410-3507
(909) 269-8472
Mailing address
3235 E OLYMPIC DR, ONTARIO, CA 91762-7278
(909) 525-0876
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
106515
CA
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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