Individual
DR. DUSTIN RAY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22600-F LAMBERT ST., STE 1202, LAKE FOREST, CA 92630
(949) 273-5935
(949) 273-5936
Mailing address
22600-F LAMBERT ST., STE 1202, LAKE FOREST, CA 92630
(949) 273-5935
(949) 273-5936
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC28953
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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