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Contact Information

BARSOUM DENTAL CORP
14613 RAMONA AVE
CHINO, CA91710
 Phone: 909-902-1708
 Fax: 909-902-1709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for BARSOUM DENTAL CORP · (Female)

NPI Number 1730696519
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2018
Last updated 01/03/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 44145
  • CA License # 57231
  • CA License # 61000
  • CA License # 64108
  • CA License # 64229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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