| Pooler Dental Corporation | |
|
66 San Pedro Rd Ste B Daly City CA 94014-2577 | |
| (650) 756-6968 | |
| (650) 756-9271 |
| Full Name | Pooler Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 66 San Pedro Rd Ste B, Daly City, California |
| Authorized Official Name and Position | Diane Marie Pooler (DENTIST) |
| Authorized Official Contact | 6507566968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pooler Dental Corporation 66 San Pedro Rd Ste B Daly City CA 94014-2577 Ph: (650) 756-6968 | Pooler Dental Corporation 66 San Pedro Rd Ste B Daly City CA 94014-2577 Ph: (650) 756-6968 |
| NPI Number | 1164607792 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164607792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 35647 (California) | Primary |
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