| Workman Orthodontics | |
|
12630 Monte Vista Rd Ste 108 Poway CA 92064-2526 | |
| (858) 312-5242 | |
| Not Available |
| Full Name | Workman Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12630 Monte Vista Rd Ste 108, Poway, California |
| Authorized Official Name and Position | Lily Ayn Workman (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 8583125242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Workman Orthodontics 12630 Monte Vista Rd Ste 108 Poway CA 92064-2526 Ph: (858) 312-5242 | Workman Orthodontics 12630 Monte Vista Rd Ste 108 Poway CA 92064-2526 Ph: (858) 312-5242 |
| NPI Number | 1952786907 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952786907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56786 (California) | Primary |
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