Organization
KATCHOOI DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA KATCHOOI DDS (OWNER)
(478) 390-1960
Entity
Organization
Contact information
Practice address
12630 MONTE VISTA RD STE 108, POWAY, CA 92064-2526
(858) 312-5242
Mailing address
7814 INCEPTION WAY, SAN DIEGO, CA 92108-5122
(478) 390-1960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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