Organization · Type 2 NPI

S. Dave Srikureja Dds, A Professional Corporation

Dental Clinic/Center · Montclair, CA

NPI number 1336734052 Active

Practice location

8660 Central Ave Ste A
Montclair, CA 91763-1692

Fax (909) 920-0517

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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NPI record

NPI: 1336734052
Entity type: Organization (Type 2)
Issued: Mar 4, 2021
Last updated: Aug 5, 2021
Status: Active
Subpart: Yes of S. Dave Srikureja Dds, A Professional Corporation

Other names

<unavail>
Montclair Plaza Dental Group · doing business as
Montclair Plaza Dental Group · doing business as

Authorized official

Dr. Sutheep Dave Srikureja, DDS
Dentist
(909) 920-0696

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About NPI 1336734052

S. Dave Srikureja Dds, A Professional Corporation's National Provider Identifier is 1336734052, issued on Mar 4, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Montclair, CA. The record was last updated on Aug 5, 2021.