Katchooi Dental Group Inc | |
12630 Monte Vista Rd Ste 108 Poway CA 92064-2526 | |
(858) 312-5242 | |
Not Available |
Full Name | Katchooi Dental Group Inc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12630 Monte Vista Rd Ste 108, Poway, California |
Authorized Official Name and Position | Mina Katchooi (OWNER) |
Authorized Official Contact | 4783901960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Katchooi Dental Group Inc 7814 Inception Way San Diego CA 92108-5122 Ph: (478) 390-1960 | Katchooi Dental Group Inc 12630 Monte Vista Rd Ste 108 Poway CA 92064-2526 Ph: (858) 312-5242 |
NPI Number | 1295465367 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 06/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295465367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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