Organization
C. ASHMORE DENTAL CORP.
Active
Other names
Dental Express
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN CASEY ASHMORE DDS (OWNER)
(619) 701-6629
Entity
Organization
Contact information
Practice address
15717 BERNARDO HEIGHTS PKWY, SAN DIEGO, CA 92128-3155
(619) 701-6643
Mailing address
4110 W POINT LOMA BLVD, SAN DIEGO, CA 92110-5603
(619) 701-6629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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