SearchCaliforniaGeneral Practice Dentistry

Indhira Audrey Sulaeman, D.D.S

NPI 1851664601 · on the registry since 2012

Practice

Address
25054 Base Line St
San Bernardino, CA 92410
Phone
(909) 889-9591
Fax
(909) 889-8721
Organisation at this address
Sulaeman Professional Dental, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California