Poway Family Dental Group | |
13616 Poway Rd Ste. 100 Poway CA 92064-6548 | |
(858) 391-9300 | |
(858) 391-9449 |
Full Name | Poway Family Dental Group |
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Speciality | Dentist - General Practice |
Location | 13616 Poway Rd, Poway, California |
Authorized Official Name and Position | Lance C Rygg (OWNER DDS) |
Authorized Official Contact | 8583919300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Poway Family Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Poway Family Dental Group 13616 Poway Rd Ste. 100 Poway CA 92064-6548 Ph: (858) 391-9300 |
NPI Number | 1265527030 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 11/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265527030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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