Organization
CHLOE COO LACSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE CATHERINE COO LACSON DDS (PRESIDENT)
(626) 202-9746
Entity
Organization
Contact information
Practice address
12345 MOUNTAIN AVE STE O, CHINO, CA 91710-2783
(909) 364-1330
Mailing address
12345 MOUNTAIN AVE STE O, CHINO, CA 91710-2783
(909) 364-1330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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