| Irene M Justin Dds Inc | |
|
2413 S Grove Ave Ontario CA 91761-6225 | |
| (909) 947-9700 | |
| (909) 947-7611 |
| Full Name | Irene M Justin Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2413 S Grove Ave, Ontario, California |
| Authorized Official Name and Position | Irene M Justin (PRESIDENT) |
| Authorized Official Contact | 9099479700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene M Justin Dds Inc 2413 S Grove Ave Ontario CA 91761-6225 Ph: (909) 947-9700 | Irene M Justin Dds Inc 2413 S Grove Ave Ontario CA 91761-6225 Ph: (909) 947-9700 |
| NPI Number | 1437576360 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437576360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51084 (California) | Primary |
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