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Organization
LASCOE DENTAL CORPORATION
Active
Organization
LASCOE DENTAL CORPORATION
Active
Other names
Glenrose Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL A LASCOE (OWNER)
(626) 288-7667
Entity
Organization
Contact information
Practice address
8951 GLENDON WAY, ROSEMEAD, CA 91770-1807
(626) 288-7667
(626) 288-6346
Mailing address
8951 GLENDON WAY, ROSEMEAD, CA 91770-1807
(626) 288-7667
(626) 288-6346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517741
MEDICAL
CA
Enumeration date
04/16/2007
Last updated
08/22/2020
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