Russel R. Nolasco Dds, INC
NPI #1053172106 in Upland, California
Provider Information
- NPI Number
- 1053172106
- Entity Type
- Organization
- Organization Name
- Russel R. Nolasco Dds, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 17, 2024
- Last Updated
- Sep 30, 2024
Practice Location
- Address
- 1042 N MOUNTAIN AVE STE A2
- City
- Upland
- State
- California
- ZIP Code
- 91786-3695
- Phone
- (909) 579-0623
Authorized Official
- Name
- DR. RUSSEL NOLASCO, DDS
- Title
- PRESIDENT
- Phone
- (760) 201-6519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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