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Organization
EMEEL GHOBRIAL DENTAL CORP.
Active
Organization
EMEEL GHOBRIAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMEEL N GHOBRIAL D.D.S. (PRESEDENT)
(909) 986-6424
Entity
Organization
Contact information
Practice address
628 WEST HOLT BLVD, SUITE # C, ONTARIO, CA 91762
(909) 986-6424
(909) 986-7464
Mailing address
628 WEST HOLTBLVD, SUITE # C, ONTARIO, CA 91762
(909) 986-6424
(909) 986-7464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B 42823-01
DENTICAL
—
01
—
PIN 518855
DENTICAL
—
Enumeration date
09/12/2014
Last updated
09/12/2014
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