Individual
DR. SAM JOSEPH POIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,D,S,
Contact information
Practice address
18152 PAMELA PL, VILLA PARK, CA 92861-2626
(714) 921-9662
(714) 921-9667
Mailing address
18152 PAMELA PL, VILLA PARK, CA 92861-2626
(714) 921-9662
(714) 921-9667
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-24327
CA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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