| Rancho Bernardo Endodontics | |
|
16466 Bernardo Center Dr Suite 176 San Diego CA 92128-2508 | |
| (858) 676-6709 | |
| (858) 676-6739 |
| Full Name | Rancho Bernardo Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 16466 Bernardo Center Dr, San Diego, California |
| Authorized Official Name and Position | Corene Janna Poelman (OWNER/ENDODONTIST) |
| Authorized Official Contact | 8586766709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Bernardo Endodontics 16466 Bernardo Center Dr Suite 176 San Diego CA 92128-2508 Ph: (858) 676-6709 | Rancho Bernardo Endodontics 16466 Bernardo Center Dr Suite 176 San Diego CA 92128-2508 Ph: (858) 676-6709 |
| NPI Number | 1487769121 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487769121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 44355 (California) | Primary |
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