JASON BO LAN

RANCHO CUCAMONGA, CA
NPI1184075293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  DDS101408)
Enumeration Date2016-06-29
Last Update Date2022-07-21
Business Address
-- JASON BO LAN
8750 19TH ST
RANCHO CUCAMONGA, CA 91701-4608
Phone number: 909-483-1177
Mailing Address
-- JASON BO LAN
11825 GREENBRIER LN
GRAND TERRACE, CA 92313-8342
Phone number: 661-513-6787
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