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

Sulaeman Professional Dental, Inc

Organization General Practice Dentistry · NPI 1063537538

Sulaeman Professional Dental, Inc is a General Practice Dentistry in San Bernardino, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25054 Base Line St
San Bernardino, CA 92410-4026
Phone: (909) 889-9591
Fax: (909) 889-8721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 37166 (CA)

Record details

NPI number1063537538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Sulaeman — Dentist · (909) 889-9591
Other names Wijaya Sulaeman, D.D.S.
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address25054 Base Line St, San Bernardino, CA 92410-4026

Other providers in San Bernardino