Provider Demographics
NPI:1184742462
Name:POGGIO, ANA VALERIA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:VALERIA
Last Name:POGGIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11287 CARMEL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2625
Mailing Address - Country:US
Mailing Address - Phone:858-395-3899
Mailing Address - Fax:858-509-1295
Practice Address - Street 1:891 KUHN DR
Practice Address - Street 2:SUITE 205
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-3551
Practice Address - Country:US
Practice Address - Phone:619-482-2412
Practice Address - Fax:619-482-2442
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics