Organization
CALIFORNIA DENTAL SURGERY CENTERS, INC
Active
Other names
glendora dental surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD N ED MILLER I FACHE, MBA (PRESIDENT)
(909) 261-8503
Entity
Organization
Contact information
Practice address
906 S GRAND AVE, GLENDORA, CA 91740-4808
(626) 852-9500
(909) 949-6919
Mailing address
906 SOUTH GRAND AVENUE, GLENDORA, CA 91740-4808
(626) 852-9500
(909) 949-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
APLLYING FOR NOW
CA
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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