Provider Demographics
NPI:1598819120
Name:POISET, MITCHELL (DDS)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:
Last Name:POISET
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:7930 FROST ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2737
Mailing Address - Country:US
Mailing Address - Phone:858-492-9977
Mailing Address - Fax:858-492-9910
Practice Address - Street 1:7930 FROST ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2737
Practice Address - Country:US
Practice Address - Phone:858-492-9977
Practice Address - Fax:858-492-9910
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2021-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAB326501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry