| NPI | 1497523732 |
|---|---|
| Doing Business As | POWAY DENTAL CENTER |
| Doing Business As | CAPRI DENTISTRY |
| Doing Business As | POWAY FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TAIS TREVELIN LOWRY President 509-508-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |