| Ashmore Dental Corporation | |
|
4110 W Point Loma Blvd San Diego CA 92110-5603 | |
| (619) 701-6622 | |
| Not Available |
| Full Name | Ashmore Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 4110 W Point Loma Blvd, San Diego, California |
| Authorized Official Name and Position | Glenn Casey Ashmore (OWNER) |
| Authorized Official Contact | 6197016622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashmore Dental Corporation 4110 W Point Loma Blvd San Diego CA 92110-5603 Ph: (619) 701-6622 | Ashmore Dental Corporation 4110 W Point Loma Blvd San Diego CA 92110-5603 Ph: (619) 701-6622 |
| NPI Number | 1083002463 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083002463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63198 (California) | Primary |
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