| Midland Orthodontics | |
|
14021 Midland Rd Poway CA 92064-3959 | |
| (858) 883-4842 | |
| (858) 883-4845 |
| Full Name | Midland Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14021 Midland Rd, Poway, California |
| Authorized Official Name and Position | Jae Y Yoo (OWNER DENTIST) |
| Authorized Official Contact | 8588834860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Orthodontics 14021 Midland Rd Poway CA 92064-3959 Ph: (858) 883-4842 | Midland Orthodontics 14021 Midland Rd Poway CA 92064-3959 Ph: (858) 883-4842 |
| NPI Number | 1588303465 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588303465 | NPI | - | NPPES |
| 103617 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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