DR. D.D.S. Antoine O. Sourialle, NPI 1811017031
General Practice Dentistry in San Bernardino, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811017031
NPI Entity Type Individual
Provider Name DR. D.D.S. Antoine O. Sourialle
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 399 E Highland Ave Ste 120, San Bernardino, CA, US
Provider Mailing Address 399 E Highland Ave Ste 120, San Bernardino, CA, US, 924043812
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1223G0001X

Taxonomy Name General Practice Dentistry
Classification

Dentist

Group

Dental Providers

License No. 44093
License State CA
Description 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.

Business Address

DR. D.D.S. Antoine O. Sourialle
399 E Highland Ave Ste 120

San Bernardino, CA, US

Phone: 909-881-0645
Fax: 909-881-4957

Mailing Address

DR. D.D.S. Antoine O. Sourialle
399 E Highland Ave Ste 120
San Bernardino, CA, US
ZIP 924043812
Phone: 909-881-0645
Fax: 909-881-4957

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0010973 CA ASSURANT HMO 01
0210745 CA CIGNA HMO 01
10490 CA PACIFICARE 01
P006271 CA WELLPOINT DENTAL 01
01628 CA WESTERN DENTAL 01
50755-1 CA BLUE SHIELD 01
004239 CA LIBERTY DENTAL HMO 01
0004636 CA MANAGED DENTAL CARE 01
DJ61 CA SMILESAVER 01
20088156 CA PRIVIOUS EIN 01
007367 CA PMI 01
134921 CA DHS HMO 01
97036530 CA SAFEGUARD HMO 01
D44093 CA DENT-CAL 01
F0275 CA GOLDENWEST 01

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

DR. MD Manraj Singh Sekhon

Individual

Student in an Organized Health Care Education/Training Program

14350 Meridian Parkway

Riverside, CA

1043930449

MRS. FNP Rupinderjit Kaur

Individual

Family Nurse Practitioner

4120 Dublin Blvd

Dublin, CA

1083182836

Lorraine Elizabeth Bishop

Individual

Behavior Technician

1811 Grand Canal Blvd Ste 2

Stockton, CA

1073247417

Conor Kelly

Individual

Addiction (Substance Use Disorder) Counselor

380 Encinal St Ste 200

Santa Cruz, CA

1700525607

MA Nicole Phyllis Bermensolo

Individual

Group Psychotherapy Psychologist

10586 W Pico Blvd # 257

Los Angeles, CA

1477168409

BA SLPA Anna Shurilla

Individual

Speech-Language Assistant

500 W Central Ave Ste B

Brea, CA

1154881787

Keith Chung

Individual

11015 Bloomfield Ave

Santa Fe Springs, CA

1578283495

RD, CNSC Jessica Ann Mumaugh

Individual

Registered Dietitian

1 Hoag Dr

Newport Beach, CA

1073277828

MS. PA-C Leia Binh Tang

Individual

Physician Assistant

12462 Putnam St Ste 501

Whittier, CA

1881220341

Heidi Velasquez

Individual

Mental Health Counselor

470 E 3rd St Ste C

Los Angeles, CA

1083776496

DR. D.C. Julio Cesar Fassino

Individual

Chiropractor

20321 Sw Acacia St Ste 100

Newport Beach, CA

1174949879

Alayne Dhamecha

Individual

Clinical Social Worker

23046 Anza Ave

Torrance, CA

1164908554

Jacqueline Daphnee Surpin

Individual

Counselor

730 Medical Center Ct

Chula Vista, CA

1306211669

Kacey Hu

Individual

Neurology Physician

2051 Marengo St

Los Angeles, CA

1720613144

AMFT Johanna Belen Brubaker

Individual

Marriage & Family Therapist

474 W Vermont Ave

Escondido, CA

1922723485

April Waight

Individual

Behavior Technician

1200 Concord Ave Ste 100

Concord, CA

1346513611

Catherine S. Montemayor

Individual

Family Nurse Practitioner

4150 Clement St

San Francisco, CA

1356093884

LMFT Jeremey Sulker-hall

Individual

Marriage & Family Therapist

31200 Via Colinas Ste 202

Westlake Village, CA

1306109053

M.D., M.P.H. Vivek Datta

Individual

Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

1265563514

MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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