| San Diego Dental Sleep Medicine | |
|
15725 Pomerado Rd Ste 104 Poway CA 92064-2057 | |
| (858) 451-3110 | |
| (858) 451-2916 |
| Full Name | San Diego Dental Sleep Medicine |
|---|---|
| Speciality | Dentist |
| Location | 15725 Pomerado Rd Ste 104, Poway, California |
| Authorized Official Name and Position | Juergen Langenbach (PRESIDENT) |
| Authorized Official Contact | 8584513110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Dental Sleep Medicine 15725 Pomerado Rd Ste 104 Poway CA 92064-2057 Ph: (858) 451-3110 | San Diego Dental Sleep Medicine 15725 Pomerado Rd Ste 104 Poway CA 92064-2057 Ph: (858) 451-3110 |
| NPI Number | 1679857841 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679857841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50631 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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