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General NPI Number Information
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NPI Number | 1598065930
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Entity Type | Organization
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Legal Business Name | SANDEEP SINGH CHEEMA DDS INC
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 39252 WINCHESTER RD SUITE 117
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City | MURRIETA
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State | CA
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Zip | 92563-3509
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Country | US
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Telephone | 951-894-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 39252 WINCHESTER RD SUITE 117
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City | MURRIETA
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State | CA
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Zip | 92563-3509
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Country | US
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Telephone | 951-894-7769
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AMADA KULICK
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Credential | RDA
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Telephone | 951-836-1239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50578
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License Number State | CA
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