Organization · Type 2 NPI

Tais Trevelin DMD Inc

General Practice Dentistry · Poway, CA

NPI number 1497523732 Active

Practice location

12378 Poway Rd Ste B
Poway, CA 92064-4242

Fax (858) 679-6993

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Ning Liu D.d.s. Inc.General Practice Dentistry Poway, CA NPI 1477769685

Other general practice dentistry providers in Poway

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NPI record

NPI: 1497523732
Entity type: Organization (Type 2)
Issued: Dec 15, 2023
Last updated: Dec 15, 2023
Status: Active

Other names

Capri Dentistry · doing business as
Poway Dental Center · doing business as
Poway Family Dental Center · doing business as

Authorized official

Tais Trevelin Lowry, DMD
President
(509) 508-7395

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497523732

Tais Trevelin DMD Inc's National Provider Identifier is 1497523732, issued on Dec 15, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Poway, CA. The record was last updated on Dec 15, 2023.