Derek Hyun Dental Corp | |
13025 Pomerado Rd Ste B Poway CA 92064-4248 | |
(858) 679-2838 | |
(858) 679-2837 |
Full Name | Derek Hyun Dental Corp |
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Speciality | Clinic/center - Dental |
Location | 13025 Pomerado Rd Ste B, Poway, California |
Authorized Official Name and Position | Maricela Vizcarra (OFFICE MANAGER) |
Authorized Official Contact | 8586792838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Derek Hyun Dental Corp 13025 Pomerado Rd Ste B Poway CA 92064-4248 Ph: (858) 679-2838 | Derek Hyun Dental Corp 13025 Pomerado Rd Ste B Poway CA 92064-4248 Ph: (858) 679-2838 |
NPI Number | 1376066977 |
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Provider Enumeration Date | 07/25/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376066977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 40949 (California) | Primary |
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