| Portable Dental Diagnostic Services | |
|
10924 Daines Dr Temple City CA 91780-2920 | |
| (415) 279-5978 | |
| Not Available |
| Full Name | Portable Dental Diagnostic Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10924 Daines Dr, Temple City, California |
| Authorized Official Name and Position | Michelle Hyunaechang Meador (COE) |
| Authorized Official Contact | 4152795978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portable Dental Diagnostic Services 10924 Daines Dr Temple City CA 91780-2920 Ph: () - | Portable Dental Diagnostic Services 10924 Daines Dr Temple City CA 91780-2920 Ph: (415) 279-5978 |
| NPI Number | 1356751630 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356751630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63128 (California) | Primary |
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