person
Dr. Antoine O. Sourialle, DDS
General Practice Dentistry in San Bernardino, California
NPI 1811017031

Antoine O. Sourialle is a General Practice Dentistry based in San Bernardino, CA and is specialized in General Practice. Antoine O. Sourialle practices in San Bernardino, CA and has the professional credentials of DDS. The NPI Number for Antoine O. Sourialle is 1811017031 and holds a License No. 44093 (California).

The current practice location address for Antoine O. Sourialle is 399 E Highland Ave Ste 120, 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 Ste 120, San Bernardino, CA, 92404-3812
person
Provider Profile Details
NPI Number
1811017031
Provider Name
Antoine O. Sourialle
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
399 E Highland Ave Ste 120, San Bernardino, CA, 92404-3812
Phone Number
909-881-0645
Fax Number
909-881-4957
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010973 01 CA ASSURANT HMO
0210745 01 CA CIGNA HMO
10490 01 CA PACIFICARE
P006271 01 CA WELLPOINT DENTAL
01628 01 CA WESTERN DENTAL
50755-1 01 CA BLUE SHIELD
004239 01 CA LIBERTY DENTAL HMO
0004636 01 CA MANAGED DENTAL CARE
DJ61 01 CA SMILESAVER
20088156 01 CA PRIVIOUS EIN
007367 01 CA PMI
134921 01 CA DHS HMO
97036530 01 CA SAFEGUARD HMO
D44093 01 CA DENT-CAL
F0275 01 CA GOLDENWEST
institution
Provider Business Practice Location Address Details
Address
399 E Highland Ave Ste 120
City
State
Zip
92404-3812
Phone Number
909-881-0645
Fax Number
909-881-4957
person
Provider Business Mailing Address Details
Address
399 E Highland Ave Ste 120
City
State
Zip
92404-3812
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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