Organization
POISET DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL B POISET (OWNER/CEO)
(858) 492-9977
Entity
Organization
Contact information
Practice address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 492-9977
(858) 492-9910
Mailing address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 492-9977
(858) 492-9910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
B32650
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
B32650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598819120
NPI
CA
Enumeration date
03/24/2011
Last updated
08/17/2021
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