| Pomerado Cosmetic Dentistry | |
|
15725 Pomerado Rd Ste 110 Poway CA 92064-2068 | |
| (858) 485-6900 | |
| (858) 485-5875 |
| Full Name | Pomerado Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 15725 Pomerado Rd, Poway, California |
| Authorized Official Name and Position | Valeri Sacknoff (PRESIDENT/OWNER) |
| Authorized Official Contact | 8584856900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pomerado Cosmetic Dentistry 15725 Pomerado Rd Ste 110 Poway CA 92064-2068 Ph: (858) 485-6900 | Pomerado Cosmetic Dentistry 15725 Pomerado Rd Ste 110 Poway CA 92064-2068 Ph: (858) 485-6900 |
| NPI Number | 1649626490 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649626490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34896 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 34896 (California) | Secondary |
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Wright And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13035 Pomerado Rd Ste D, Poway, CA 92064 Phone: 858-486-1412 | |
Twin Peaks Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14761 Pomerado Rd, Poway, CA 92064 Phone: 858-748-5815 Fax: 858-748-6130 | |
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