Individual
CHRIS MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15525 POMERADO RD,, SUITE C-6, POWAY, CA 92064
(858) 485-6600
(858) 673-5546
Mailing address
15525 POMERADO RD,, SUITE C-6, POWAY, CA 92064
(858) 485-6600
(858) 673-5546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811472
PROVIDER ID FOR UNITED CO
CA
Enumeration date
01/29/2007
Last updated
05/04/2017
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