Provider Demographics
NPI:1588732358
Name:HAFAR, SUMMER Q
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:Q
Last Name:HAFAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SOWMAR
Other - Middle Name:Q
Other - Last Name:HAFFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2850 INLAND EMPIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4659
Mailing Address - Country:US
Mailing Address - Phone:909-984-2255
Mailing Address - Fax:909-988-4800
Practice Address - Street 1:2850 INLAND EMPIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4659
Practice Address - Country:US
Practice Address - Phone:909-944-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43443122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist