Katchooi Dental Group INC
Dentist, Orthodontics and Dentofacial Orthopedics in Poway, CA. Organization (NPI-2).
NPI number1295465367
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1295465367
- Entity type
- Organization (NPI-2)
- Legal business name
- Katchooi Dental Group INC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2022
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
12630 Monte Vista Rd Ste 108Poway, CA 92064-2526
Phone 858-312-5242
Mailing address
7814 Inception WaySan Diego, CA 92108-5122
Phone 478-390-1960
Authorized official
Mina Katchooi
Owner
4783901960
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