Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Dimas Periodontics

Organization Periodontics · NPI 1033261391

San Dimas Periodontics is a Periodontics in San Dimas, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1111 W Covina Blvd Ste 220
San Dimas, CA 91773-3205
Phone: (909) 599-9510
Fax: (909) 599-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 44495 (CA)

Record details

NPI number1033261391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Kayali — President · (909) 599-9510
NPI enumeratedJanuary 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1111 W Covina Blvd Ste 220, San Dimas, CA 91773-3205

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