Organization
POOLER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE POOLER DDS (DENTIST)
(650) 756-6968
Entity
Organization
Contact information
Practice address
66 SAN PEDRO RD STE B, DALY CITY, CA 94014-2577
(650) 756-6968
(650) 756-9271
Mailing address
66 SAN PEDRO RD STE B, DALY CITY, CA 94014-2577
(650) 756-6968
(650) 756-9271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
35647
CA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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