| Glamour Dental Care | |
|
9509 Central Ave Ste D Montclair CA 91763-2400 | |
| (909) 399-3330 | |
| Not Available |
| Full Name | Glamour Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 9509 Central Ave Ste D, Montclair, California |
| Authorized Official Name and Position | Rita Deragobian (OWNER) |
| Authorized Official Contact | 9093993330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glamour Dental Care 9509 Central Ave Ste D Montclair CA 91763-2400 Ph: (909) 399-3330 | Glamour Dental Care 9509 Central Ave Ste D Montclair CA 91763-2400 Ph: (909) 399-3330 |
| NPI Number | 1992127997 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992127997 | NPI | - | NPPES |
| 1578742953 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55480 (California) | Primary |
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