| NPI | 1639943434 |
|---|---|
| Doing Business As | POWAY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINA ABDULLAH President 619-767-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |