| Poiset Dental Corporation | |
|
7930 Frost St Suite 101 San Diego CA 92123-2737 | |
| (858) 492-9977 | |
| (858) 492-9910 |
| Full Name | Poiset Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7930 Frost St, San Diego, California |
| Authorized Official Name and Position | Mitchell B Poiset (OWNER/CEO) |
| Authorized Official Contact | 8584929977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poiset Dental Corporation 7930 Frost St Suite 101 San Diego CA 92123-2737 Ph: (858) 492-9977 | Poiset Dental Corporation 7930 Frost St Suite 101 San Diego CA 92123-2737 Ph: (858) 492-9977 |
| NPI Number | 1982903324 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982903324 | NPI | - | NPPES |
| 1598819120 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | B32650 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | B32650 (California) | Secondary |
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