Sam Joseph Poidmore, D,D,S, Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Villa Park, CA

NPI

1316088529

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

D-24327 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-09

Last updated

2007-07-08