JERHET RUSSELL ASK

LOMA LINDA, CA
NPI1770804130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  Pending)
Enumeration Date2010-06-18
Last Update Date2010-06-18
Business Address
-- JERHET RUSSELL ASK DDS
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- JERHET RUSSELL ASK DDS
26149 PICTON AVE
LOMA LINDA, CA 92354-4153
Phone number: