Portable Dental Diagnostic Services
NPI #1356751630 in Temple City, California
Provider Information
- NPI Number
- 1356751630
- Entity Type
- Organization
- Organization Name
- Portable Dental Diagnostic Services
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 7, 2014
- Last Updated
- May 7, 2014
Practice Location
- Address
- 10924 DAINES DR
- City
- Temple City
- State
- California
- ZIP Code
- 91780-2920
- Phone
- (415) 279-5978
Authorized Official
- Name
- MICHELLE HYUNAECHANG MEADOR, DMD
- Title
- COE
- Phone
- (415) 279-5978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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