San Dimas Periodontics
LBN: San Dimas Periodontics
San Dimas Periodontics is an health care organization with primary practice located at 1111 W Covina Blvd Ste 220 , San Dimas CA 91773-3205. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty.
San Dimas Periodontics can be contacted via phone (909) 599-9510, or through Kayali, Mohamed Ihsan via phone (909) 599-9510.
Contact Information
Primary practice address
1111 W Covina Blvd Ste 220
San Dimas CA 91773-3205
Phone: (909) 599-9510
Fax: (909) 599-1610
Website:
Authorized official contact:
Name: Kayali, Mohamed Ihsan Doctor of Dental Surgery (DDS)
Phone: (909) 599-9510
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 44495 | California |
Profile Details
NPI number | 1033261391 |
---|---|
LBN Legal business name | San Dimas Periodontics |
DBA Doing business as | |
Authorized official | Kayali, Mohamed Ihsan Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 17th, 2007 |
Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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