Organization
GHAZAL DENTAL CORPORATION
Active
Other names
N. RANCHO CUCAMONGA DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN G GHAZAL DDS (OWNER DDS)
(909) 581-0888
Entity
Organization
Contact information
Practice address
10797 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3858
(909) 581-0888
(909) 581-1977
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
38682
CA
1223P0300X
Periodontics
43860
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
37440
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50857
CA
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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