Sahawneh Dental Corporation
Organization Active NPI Dentist · Upland, CA
NPI 1962799346 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1962799346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 55643 (CA)
- Legal business name
- SAHAWNEH DENTAL CORPORATION
- Practice address
- 280 S Mountain Ave
Upland, CA 91786-7029 - Phone
- (909) 285-3160
- Fax
- (909) 982-0354
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Shorouq Sahawneh, DDS
- Title
- President
- Phone
- (909) 285-3160
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Fratt Dental Corporation
Locations
280 S Mountain Ave
Upland, CA 91786
Phone (909) 285-3160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 55643 | CA | Yes |
| General Practice Dentistry |
1223G0001X |
Addresses
Primary practice location
280 S Mountain Ave
Upland, CA 91786-7029
Mailing address
280 S Mountain Ave
Upland, CA 91786-7029
Phone (909) 285-3160
Other names
- BRIGHTNOW DENTAL UPLAND
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.