| NPI | 1699214478 |
|---|---|
| Doing Business As | DENTAL EXPRESS |
| Entity Type | Organization |
| Authorized Contact | GLENN CASEY ASHMORE Owner/President 619-701-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 63198) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2018-03-26 |