Organization
ASHMORE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN CASEY ASHMORE DDS (OWNER)
(619) 701-6622
Entity
Organization
Contact information
Practice address
4110 W POINT LOMA BLVD, SAN DIEGO, CA 92110-5603
(619) 701-6622
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
63198
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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