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MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP NPI 1508376989


NPI Information

NPI: 1508376989
Provider Name: MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP

Doing Business As: MOHAMED KAYS DDS PC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1635 N MOUNTAIN AVE
UPLAND, CA
ZIP 91784
Phone: (909) 982-3300
Get Directions

MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP is a general practice dentist in Upland, CA. The provider is 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. MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP NPI is 1508376989. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mohamed Kays Dds Pc.

The provider's business location address is:

1635 N MOUNTAIN AVE
UPLAND, CA
ZIP 91784-732
Phone: (909) 982-3300
Fax: (909) 982-3350

The provider's authorized official is Natasha L Chatman .
The authorized official title is Office Manager and has the following contact phone number (909) 982-3300.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 9/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice53592CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101995MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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