Southridge Dental Group

  • 1497924997 NPI Number
  • |
  • Actived: 11 years ago
  • |
According to our database, NPI number for Southridge Dental Group is 1497924997 and actived since Thursday, February 28 2008. Southridge Dental Group is an Organization provider specializes in Dentist. Provider information was last updated on 02/28/2008.

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Overview of Southridge Dental Group

  • NPI number: 1083161814
  • Provider type: Organization
  • Specialty: Dentist
  • Active since: 02/28/2008
  • Last updated: 02/28/2008

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 24452
  • License State: CA

Provider Mailing Address

  • Address: 14050 Cherry Ave
    Ste. A
    Fontana, CA 92337
  • Phone: 909-822-9090
  • Fax: 909-822-9094

Provider Practice Location

  • Address: 14050 Cherry Ave
    Ste. A
    Fontana, CA 92337
  • Phone: 909-822-9090
  • Fax: 909-822-9094

Authorized Official

  • Name: MR. Howard Glassman
  • Position/Title: Dentist
  • Telephone Number: 909-822-9090

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 24452
  • License State: CA
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Southridge Dental Group?
  • A: The npi number for Southridge Dental Group is 1497924997.
  • Q: What are Southridge Dental Group's specialties?
  • A: Southridge Dental Group's specialties are Dentist and different specialities.
  • Q: Where is Southridge Dental Group business practice location?
  • A: Southridge Dental Group business practice location is 14050 Cherry Ave, Fontana, CA 92337.
  • Q: How to contact Southridge Dental Group?
  • A: You can contact Southridge Dental Group via 909-822-9090.
  • Q: What is the authorized official for Southridge Dental Group?
  • A: The authorized office name is MR. Howard Glassman with position/title is Dentist and you can reach the authorized official via phone number 9098229090.