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Organization

COLTON DENTAL GROUP

Active
Parent organization
COLTON DENTAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLTON DENTAL GROUP
Authorized official
DR. SAM DANIEL DASON (DENTIST)
(909) 825-0545
Entity
Organization

Contact information

Practice address
251 E VALLEY BLVD, COLTON, CA 92324-3005
(909) 825-0545
Mailing address
251 E VALLEY BLVD, COLTON, CA 92324-3005
(909) 825-0545

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41386
CA

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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