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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