NPI | 1467641605 |
---|---|
Doing Business As | POWAY FAMILY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LANCE C RYGG Owner 858-391-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-10-23 |
Last Update Date | 2007-10-23 |