Organization
ASSISTANCE LEAGUE OF SAN BERNARDINO
Active
Organization
ASSISTANCE LEAGUE OF SAN BERNARDINO
Active
Other names
Dr. Earl R. Crane Children's Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS A HOUGH (DENTAL CHAIR)
(909) 499-4520
Entity
Organization
Contact information
Practice address
580 W 6TH ST, SAN BERNARDINO, CA 92410-3002
(909) 885-2044
(909) 885-5900
Mailing address
580 W 6TH ST, SAN BERNARDINO, CA 92410-3002
(909) 885-2044
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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