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Organization
SIERRA FAMILY DENTAL GROUP INC.
Active
Organization
SIERRA FAMILY DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY JOUGLARD DDS (OWNER)
(909) 356-4200
Entity
Organization
Contact information
Practice address
9190 SIERRA AVE, SUITE 101, FONTANA, CA 92335-8613
(909) 356-4200
(909) 356-5434
Mailing address
9190 SIERRA AVE, SUITE 101, FONTANA, CA 92335-8613
(909) 356-4200
(909) 356-5434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33598
CA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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