| Alldent Dental Center | |
|
12845 Poway Rd Ste 400 Poway CA 92064-4528 | |
| (858) 513-1065 | |
| Not Available |
| Full Name | Alldent Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12845 Poway Rd Ste 400, Poway, California |
| Authorized Official Name and Position | Tae Hun Chung (PRESIDENT) |
| Authorized Official Contact | 8585131065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alldent Dental Center 12845 Poway Rd Ste 400 Poway CA 92064-4528 Ph: (858) 513-1065 | Alldent Dental Center 12845 Poway Rd Ste 400 Poway CA 92064-4528 Ph: (858) 513-1065 |
| NPI Number | 1306093406 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306093406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55318 (California) | Primary |
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