Organization
RAFAEL POU DDS INC
Active
Other names
Genesis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL T POU DDS (DENTIST)
(949) 514-3500
Entity
Organization
Contact information
Practice address
6040B ATLANTIC BLVD, MAYWOOD, CA 90270-3119
(323) 476-7558
(323) 476-7576
Mailing address
6040B ATLANTIC BLVD, MAYWOOD, CA 90270-3119
(323) 476-7558
(323) 476-7576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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