NPI | 1649626490 |
---|---|
Doing Business As | POMERADO COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | VALERI SACKNOFF President/Owner 858-485-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 34896) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 34896) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2017-01-20 |