David A.H. Saputra in San Bernardino - General Practice

David A.H. Saputra - NPI 1568482354

David A.H. Saputra is a General Practice in San Bernardino, California. David A.H. Saputra practices all healthcare services and medical treatments related to General Practice. The NPI Number for David A.H. Saputra is 1568482354. The last update date is 2007-07-08.

David A.H. Saputra's current location address is 25054 Base Line St, San Bernardino, California. You can contact this provider via phone number 9098899591 and fax number 9098898721. The mailing address for David A.H. Saputra is 25054 Base Line St, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David A.H. Saputra
Address 25054 Base Line St, San Bernardino, California
Phone Number 9098899591
Fax Number 9098898721
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1568482354
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 25054 Base Line St
City San Bernardino
State California (CA)
Post Code 924104026
Phone Number 9098899591
Fax Number 9098898721

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 44254
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D44254 CA --

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FAQs about David A.H. Saputra

What is the David A.H. Saputra's 1568482354?

The David A.H. Saputra's NPI (National Provider Identifier) Number is 1568482354. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David A.H. Saputra is geographically located?

The David A.H. Saputra is physically situated at the following location: 25054 Base Line St, San Bernardino, CA, 924104026.

What is David A.H. Saputra's area of expertise and its corresponding taxonomy classification?

The David A.H. Saputra's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did the David A.H. Saputra receive its 1568482354?

The David A.H. Saputra was issued its 1568482354 on 2006-07-21, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to David A.H. Saputra most recently updated or revised?

The information pertaining to David A.H. Saputra, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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