| 4s Pediatric Dentistry | |
|
16918 Dove Canyon Rd Ste 203 San Diego CA 92127-3457 | |
| (858) 451-5437 | |
| Not Available |
| Full Name | 4s Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16918 Dove Canyon Rd Ste 203, San Diego, California |
| Authorized Official Name and Position | Chieu Pham (PRESIDENT) |
| Authorized Official Contact | 4083907228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4s Pediatric Dentistry 16918 Dove Canyon Rd Ste 203 San Diego CA 92127-3457 Ph: () - | 4s Pediatric Dentistry 16918 Dove Canyon Rd Ste 203 San Diego CA 92127-3457 Ph: (858) 451-5437 |
| NPI Number | 1578975728 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578975728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (California) | Primary |
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