Irene M Justin Wildwood Dental Group
Irene M Justin Wildwood Dental Group provides General Practice Dentistry in San Bernardino, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
3972 N Waterman Ave Ste 110San Bernardino, CA 92404-1767 Not confirmed with CMS for 16 years — call before visiting
Phone: (909) 947-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 51084 (CA) |
|---|
Record details
| NPI number | 1689900870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irene Justin — President · (951) 536-8419 |
| NPI enumerated | October 23, 2009 |
| Last updated in NPPES | October 23, 2009 |
| Mailing address | 2413 S Grove Ave, Ontario, CA 91761-6225 |
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