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13616 Poway Rd Ste. 100 Poway CA 92064-6548 | |
| (858) 391-9300 | |
| (858) 391-9449 |
| Full Name | |
|---|---|
| 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 |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 13616 Poway Rd Ste. 100 Poway CA 92064-6548 Ph: (858) 391-9300 |
| NPI Number | 1265527030 |
|---|---|
| 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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