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Organization
SOUTHRIDGE DENTAL GROUP
Active
Organization
SOUTHRIDGE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD GLASSMAN (DENTIST)
(909) 822-9090
Entity
Organization
Contact information
Practice address
14050 CHERRY AVE, STE. A, FONTANA, CA 92337-0766
(909) 822-9090
(909) 822-9094
Mailing address
14050 CHERRY AVE, STE. A, FONTANA, CA 92337-0766
(909) 822-9090
(909) 822-9094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24452
CA
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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