| Poway Dentistry | |
|
12324 Oak Knoll Rd Poway CA 92064-5320 | |
| (619) 767-8039 | |
| Not Available |
| Full Name | Poway Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12324 Oak Knoll Rd, Poway, California |
| Authorized Official Name and Position | Mina Abdullah (PRESIDENT) |
| Authorized Official Contact | 6197678039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poway Dentistry 12686 Belle Fleur Way San Diego CA 92128-4186 | Poway Dentistry 12324 Oak Knoll Rd Poway CA 92064-5320 Ph: (619) 767-8039 |
| NPI Number | 1639943434 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639943434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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