San Dimas Periodontics

LBN: San Dimas Periodontics
San Dimas Periodontics is an health care organization with primary practice located at 1111 W Covina Blvd Ste 220 , San Dimas CA 91773-3205. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. San Dimas Periodontics can be contacted via phone (909) 599-9510, or through Kayali, Mohamed Ihsan via phone (909) 599-9510.

Contact Information

Primary practice address
1111 W Covina Blvd Ste 220 San Dimas CA 91773-3205
Phone: (909) 599-9510
Fax: (909) 599-1610
Website:
Map and Directions
Authorized official contact:
Name: Kayali, Mohamed Ihsan Doctor of Dental Surgery (DDS)
Phone: (909) 599-9510

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 44495 California

Profile Details

NPI number 1033261391
LBN Legal business name San Dimas Periodontics
DBA Doing business as
Authorized official Kayali, Mohamed Ihsan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

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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