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Organization
IRENE M JUSTIN DDS INC
Active
Organization
IRENE M JUSTIN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE M JUSTIN DDS (PRESIDENT)
(909) 947-9700
Entity
Organization
Contact information
Practice address
2413 S GROVE AVE, ONTARIO, CA 91761-6225
(909) 947-9700
(909) 947-7611
Mailing address
2413 S GROVE AVE, ONTARIO, CA 91761-6225
(909) 947-9700
(909) 947-7611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51084
CA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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