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Organization
GLENN ONG-VELOSO A DENTAL CORPORATION
Active
Organization
GLENN ONG-VELOSO A DENTAL CORPORATION
Active
Other names
Aspen Dental Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN LANZAR ONG-VELOSO D.D.S. (OWNER)
(760) 373-1950
Entity
Organization
Contact information
Practice address
21007 NEMOPHILIA ST, SUITE B, CALIFORNIA CITY, CA 93505-1963
(760) 373-1950
(760) 373-0072
Mailing address
21007 NEMOPHILIA ST, SUITE B, CALIFORNIA CITY, CA 93505-1963
(760) 373-1950
(760) 373-0072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44316-1
HEALTHY FAMILIES
CA
01
—
G91712-02
DENTI-CAL
CA
Enumeration date
01/19/2007
Last updated
06/18/2008
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