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Organization
RUSSEL R. NOLASCO DDS, INC
Active
Organization
RUSSEL R. NOLASCO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL NOLASCO DDS (PRESIDENT)
(760) 201-6519
Entity
Organization
Contact information
Practice address
1042 N MOUNTAIN AVE STE A2, UPLAND, CA 91786-3695
(909) 579-0623
Mailing address
1042 N MOUNTAIN AVE STE A2, UPLAND, CA 91786-3695
(909) 579-0623
(909) 579-6483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
09/30/2024
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