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1770704140
GLENN A. MITOMA
ONTARIO, CA
NPI
1770704140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 25598)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. GLENN A. MITOMA D.D.S.
712 N EUCLID AVE
ONTARIO, CA 91762-2712
Phone number: 909-984-3126
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Mailing Address
Dr. GLENN A. MITOMA D.D.S.
712 N EUCLID AVE
ONTARIO, CA 91762-2712
Phone number: 909-984-3126
Copy
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