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Organization
G.C. ASHMORE DENTAL CORP.
Active
Organization
G.C. ASHMORE DENTAL CORP.
Active
Other names
Dental Express
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN CASEY ASHMORE DDS (DENTIST/OWNER)
(619) 701-6622
Entity
Organization
Contact information
Practice address
210 PARK BLVD, SAN DIEGO, CA 92101-7414
(619) 701-6628
Mailing address
4110 W POINT LOMA BLVD, SAN DIEGO, CA 92110-5603
(619) 701-6622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6319
CA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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