| Glenn Dental | |
|
16098 Kamana Rd Apple Valley CA 92307-1335 | |
| (760) 242-2620 | |
| (760) 242-4700 |
| Full Name | Glenn Dental |
|---|---|
| Speciality | Dentist |
| Location | 16098 Kamana Rd, Apple Valley, California |
| Authorized Official Name and Position | Glenn Ong-veloso (OWNER) |
| Authorized Official Contact | 7602422620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Dental 16098 Kamana Rd Apple Valley CA 92307-1335 Ph: (760) 242-2620 | Glenn Dental 16098 Kamana Rd Apple Valley CA 92307-1335 Ph: (760) 242-2620 |
| NPI Number | 1689056038 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689056038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44347 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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