Sulaeman Professional Dental, Inc.
Dental Clinic
25054 Base Line St, San Bernardino
California, 92410-4026
909-889-9591 909-889-8721
Maps & DirectionsSulaeman Professional Dental, Inc. is a Dental Clinic in San Bernardino, California. It is located at 25054 Base Line St, San Bernardino, CA and its contact number is 909-889-9591. The authorized person for Sulaeman Professional Dental, Inc. is Dr. Audrey Indhira Sulaeman
who is Dentist of the clinic and their contact number is 909-889-9591. The primary license number for Sulaeman Professional Dental, Inc. is 37166 (General Practice) in California.
Sulaeman Professional Dental, Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Sulaeman Professional Dental, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Sulaeman Professional Dental, Inc. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 25054 Base Line St, San Bernardino,
California, 92410-4026 |
| Phone: | 909-889-9591 |
| Fax: | 909-889-8721 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Audrey Indhira Sulaeman |
| Position: | Dentist |
| Contact Number: | 909-889-9591 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Sulaeman Professional Dental, Inc. clinic are as mentioned below.
| NPI Number: | 1063537538 |
| NPI Enumeration Date: | 21 Mar, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sulaeman Professional Dental, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 37166 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D37166 | Medicaid | California | |
| D44254 | Medicaid | California | |
| D48030 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Sulaeman Professional Dental, Inc.
25054 Base Line St,
San Bernardino, California |
| Zip: | 92410-4026 |
| Phone Number: | 909-889-9591 |
| Fax Number: | 909-889-8721 |
Patients can reach Sulaeman Professional Dental, Inc. at
25054 Base Line St, San Bernardino, California or can
call to book an appointment on 909-889-9591.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.