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1497924997
SOUTHRIDGE DENTAL GROUP
FONTANA, CA
NPI
1497924997
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Entity Type
Organization
Authorized Contact
HOWARD GLASSMAN
Dentist
909-822-9090
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 24452)
Enumeration Date
2008-02-28
Last Update Date
2008-02-28
Business Address
SOUTHRIDGE DENTAL GROUP
14050 CHERRY AVE STE. A
FONTANA, CA 92337-0766
Phone number: 909-822-9090
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Mailing Address
SOUTHRIDGE DENTAL GROUP
14050 CHERRY AVE STE. A
FONTANA, CA 92337-0766
Phone number: 909-822-9090
Copy
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