Sambath Tiep Dds, Pc | |
15725 Pomerado Rd Ste 206 Poway CA 92064-2059 | |
(858) 251-3313 | |
(858) 225-1803 |
Full Name | Sambath Tiep Dds, Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 15725 Pomerado Rd Ste 206, Poway, California |
Authorized Official Name and Position | Sambath Tiep (OWNER/PRESIDENT) |
Authorized Official Contact | 8582513313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sambath Tiep Dds, Pc 15725 Pomerado Rd Ste 206 Poway CA 92064-2059 Ph: (858) 251-3313 | Sambath Tiep Dds, Pc 15725 Pomerado Rd Ste 206 Poway CA 92064-2059 Ph: (858) 251-3313 |
NPI Number | 1548804313 |
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Provider Enumeration Date | 11/04/2019 |
Last Update Date | 05/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548804313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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