| Poway Elite Dentistry | |
|
15525 Pomerado Rd Ste C9 Poway CA 92064-2426 | |
| (858) 275-6507 | |
| Not Available |
| Full Name | Poway Elite Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15525 Pomerado Rd Ste C9, Poway, California |
| Authorized Official Name and Position | Guobin He (DENTIST) |
| Authorized Official Contact | 8582756507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poway Elite Dentistry 15525 Pomerado Rd Ste C9 Poway CA 92064-2426 Ph: (858) 275-6507 | Poway Elite Dentistry 15525 Pomerado Rd Ste C9 Poway CA 92064-2426 Ph: (858) 275-6507 |
| NPI Number | 1043718018 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043718018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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