Organization
BEAR VALLEY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERYN BURES POOLE D.D.S. (OWNER)
(909) 866-2646
Entity
Organization
Contact information
Practice address
41628 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315
(909) 866-2646
(909) 866-1796
Mailing address
PO BOX 2852, BIG BEAR LAKE, CA 92315-2852
(909) 866-2646
(909) 866-1796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40110
CA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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