Tais Trevelin Dmd INC
NPI #1497523732 in Poway, California
Provider Information
- NPI Number
- 1497523732
- Entity Type
- Organization
- Organization Name
- Tais Trevelin Dmd INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 15, 2023
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 12378 POWAY RD STE B
- City
- Poway
- State
- California
- ZIP Code
- 92064-4242
- Phone
- (858) 679-8918
Authorized Official
- Name
- TAIS TREVELIN LOWRY, DMD
- Title
- PRESIDENT
- Phone
- (509) 508-7395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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