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Organization
GLENN CASEY ASHMORE DENTAL CORP.
Active
Organization
GLENN CASEY ASHMORE DENTAL CORP.
Active
Other names
Dental Express
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN CASEY ASHMORE DDS (DENTIST/OWNER)
(619) 701-6622
Entity
Organization
Contact information
Practice address
4110 W POINT LOMA BLVD, SAN DIEGO, CA 92110-5603
(619) 701-6622
(619) 701-6656
Mailing address
4664 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117-2005
(619) 701-6625
(619) 701-6769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63198
CA
Other
Enumeration date
02/23/2015
Last updated
06/26/2015
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