Individual
DOMINIC GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14598 7TH ST, VICTORVILLE, CA 92395-4214
(840) 213-9939
Mailing address
13564 MESQUITE ST, OAK HILLS, CA 92344-8435
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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