Provider Demographics
NPI:1467761569
Name:SANDEEP SINGH CHEEMA DDS INC
Entity Type:Organization
Organization Name:SANDEEP SINGH CHEEMA DDS INC
Other - Org Name:FRIENDLY DENTAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMADA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-894-7769
Mailing Address - Street 1:39252 WINCHESTER RD.
Mailing Address - Street 2:SUITE 117
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3511
Mailing Address - Country:US
Mailing Address - Phone:951-894-7769
Mailing Address - Fax:951-894-7697
Practice Address - Street 1:28314 OLD TOWN FRONT ST.
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-1814
Practice Address - Country:US
Practice Address - Phone:951-676-8920
Practice Address - Fax:951-676-8976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA505781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty