Glenn Ong-Veloso a Dental Corporation

NPI #1215080452 in California City, California

Provider Information

NPI Number: 1215080452
Entity Type: Organization
Organization Name: Glenn Ong-Veloso a Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 19, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 21007 NEMOPHILIA ST
Address 2: SUITE B
City: California City
State: California
ZIP Code: 93505-1963
Phone: (760) 373-1950

Authorized Official

Name: DR. GLENN LANZAR ONG-VELOSO, D.D.S.
Title: OWNER
Phone: (760) 373-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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