| Poway Family Dental Group | |
|
13616 Poway Rd Suite 100 Poway CA 92064-6548 | |
| (858) 391-9300 | |
| (858) 391-9449 |
| Full Name | Poway Family Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13616 Poway Rd, Poway, California |
| Authorized Official Name and Position | Lance C Rygg (OWNER) |
| Authorized Official Contact | 8583919300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poway Family Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Poway Family Dental Group 13616 Poway Rd Suite 100 Poway CA 92064-6548 Ph: (858) 391-9300 |
| NPI Number | 1467641605 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467641605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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