| Derek Hyun Dental Corp | |
|
13025 Pomerado Rd Ste B Poway CA 92064-4248 | |
| (858) 679-2838 | |
| (858) 679-2837 |
| Full Name | Derek Hyun Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13025 Pomerado Rd Ste B, Poway, California |
| Authorized Official Name and Position | Maricela Vizcarra (OFFICE MANAGER) |
| Authorized Official Contact | 8586792838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Hyun Dental Corp 13025 Pomerado Rd Ste B Poway CA 92064-4248 Ph: (858) 679-2838 | Derek Hyun Dental Corp 13025 Pomerado Rd Ste B Poway CA 92064-4248 Ph: (858) 679-2838 |
| NPI Number | 1376066977 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376066977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 40949 (California) | Primary |
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