| NPI | 1124243100 |
|---|---|
| Doing Business As | GLENROSE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NEAL A LASCOE Owner 626-288-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |