Socal Dental Specialists Dental Group Of Dr. Ummethala

LBN: Socal Dental Specialists Dental Group Of Dr. Ummethala
Socal Dental Specialists Dental Group Of Dr. Ummethala is an health care organization with primary practice located at 1460 Ford St. Ste 105, Redlands CA 92373. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Socal Dental Specialists Dental Group Of Dr. Ummethala can be contacted via phone (909) 500-2705, or through Rungcharassaeng, Kitichai via phone (909) 500-2705.

Contact Information

Primary practice address
1460 Ford St. Ste 105 Redlands CA 92373
Fax: (909) 500-3930
Website:
Authorized official contact:
Name: Rungcharassaeng, Kitichai Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1407530918
LBN Legal business name Socal Dental Specialists Dental Group Of Dr. Ummethala
DBA Doing business as
Authorized official Rungcharassaeng, Kitichai Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about last year

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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