institution
Southland Dental Group Antoine Sourialle Dds Inc
General Practice Dentistry in San Bernardino, California
NPI 1588715031

Southland Dental Group Antoine Sourialle Dds Inc is a General Practice Dentistry based in San Bernardino, CA and is specialized in General Practice. Southland Dental Group Antoine Sourialle Dds Inc practices in San Bernardino, CA. The NPI Number for Southland Dental Group Antoine Sourialle Dds Inc is 1588715031 and holds a License No. 44093 (California).

The current practice location address for Southland Dental Group Antoine Sourialle Dds Inc is 399 E Highland Ave, San Bernardino, CA and can be reached out via phone at 909-881-0645 and via fax at 909-881-4957.

Location: 399 E Highland Ave, San Bernardino, CA, 92404-3808
institution
Provider Profile Details
NPI Number
1588715031
Provider Name
Southland Dental Group Antoine Sourialle Dds Inc
Credential
Provider Entity Type
Organization
Address
399 E Highland Ave, San Bernardino, CA, 92404-3808
Phone Number
909-881-0645
Fax Number
909-881-4957
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10490 01 CA PACIFICARE HMO
20088156 01 CA PREVIOUS EIN
004239 01 CA LIBERTY DENTAL HMO
B44093-01 01 CA DELTA HEALTHY FAMILY
DJ61 01 CA SMILESAVER HMO
G92830-01 01 CA DENTI-CAL
007367 01 CA PMI HMO
50755-1 01 CA BLUE SHIELD
971330 01 CA UNITED CONCORDIA HMO
97036530 01 CA SAFEGUARD HMO
134921 01 CA DHS HMO
F0275 01 CA GOLDEN WEST HMO
0010973 01 CA ASSURANT HMO
P006271 01 CA WELLPOINT HMO
0004636 01 CA MANAGED DENTAL HMO
01628 01 CA WESTERN DENTAL HMO
210745 01 CA CIGNA HMO
institution
Provider Business Practice Location Address Details
Address
399 E Highland Ave
City
State
Zip
92404-3808
Phone Number
909-881-0645
Fax Number
909-881-4957
person
Provider Business Mailing Address Details
Address
399 E Highland Ave
City
State
Zip
92404-3808
Phone Number
909-881-0645
Fax Number
909-881-4957
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
44093 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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