| Roger Tran Dental PC | |
|
12915 Pomerado Rd Poway CA 92064-5325 | |
| (619) 278-8226 | |
| Not Available |
| Full Name | Roger Tran Dental PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12915 Pomerado Rd, Poway, California |
| Authorized Official Name and Position | Roger Tran (PARTNER) |
| Authorized Official Contact | 6192788226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Tran Dental PC 12915 Pomerado Rd Poway CA 92064-5325 | Roger Tran Dental PC 12915 Pomerado Rd Poway CA 92064-5325 Ph: (619) 278-8226 |
| NPI Number | 1952132805 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952132805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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