| Pore Dental Group, Inc | |
|
31205 Pauba Rd #205 Temecula CA 92592-6220 | |
| (951) 506-6872 | |
| (951) 506-4712 |
| Full Name | Pore Dental Group, Inc |
|---|---|
| Speciality | Dentist |
| Location | 31205 Pauba Rd, Temecula, California |
| Authorized Official Name and Position | Dhanesh R Pore (OWNER) |
| Authorized Official Contact | 9515066872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pore Dental Group, Inc 31205 Pauba Rd #205 Temecula CA 92592 Ph: (951) 506-6872 | Pore Dental Group, Inc 31205 Pauba Rd #205 Temecula CA 92592-6220 Ph: (951) 506-6872 |
| NPI Number | 1730623695 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730623695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44063 (California) | Primary |
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