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Contact Information

PERRIS MODERN DENTISTRY DENTAL GROUP
LBN SOHAL AND PHAM DENTAL CORPORATION
1820 PERRIS BLVD
SUITE 70
PERRIS, CA92571
 Phone: 951-349-4106
 Fax: 951-905-1454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PERRIS MODERN DENTISTRY DENTAL GROUP

NPI # 1013456235
LBN Legal business name SOHAL AND PHAM DENTAL CORPORATION
DBA Doing business as PERRIS MODERN DENTISTRY DENTAL GROUP
Authorized official SHERLY SOHAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2017
Last updated 02/21/2017 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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