Southland Dental Group Antoine Sourialle DDS Inc
Southland Dental Group Antoine Sourialle DDS Inc provides General Practice Dentistry in San Bernardino, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
399 E Highland Ave Ste 120San Bernardino, CA 92404-3808
Phone: (909) 881-0645
Fax: (909) 881-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 44093 (CA) |
|---|
Record details
| NPI number | 1588715031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Antoine Sourialle — Owner · (909) 881-0645 |
| Other names | Southland Dental Group Antoine Sourialle Dds |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 399 E Highland Ave, Suite 120, San Bernardino, CA 92404-3808 |
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