| Poway Family Dental Center | |
|
12378 Poway Rd Ste B Poway CA 92064-4242 | |
| (858) 679-8918 | |
| Not Available |
| Full Name | Poway Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12378 Poway Rd Ste B, Poway, California |
| Authorized Official Name and Position | Chelsea Liu (PRESIDENT) |
| Authorized Official Contact | 8586798918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poway Family Dental Center 12378 Poway Rd Ste B Poway CA 92064-4242 Ph: (858) 679-8918 | Poway Family Dental Center 12378 Poway Rd Ste B Poway CA 92064-4242 Ph: (858) 679-8918 |
| NPI Number | 1093257354 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093257354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62713 (California) | Primary |
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