| Emily Vaccarezza, Dds, Inc | |
|
2446 Fenton St Ste 102 Chula Vista CA 91914-3516 | |
| (619) 216-1100 | |
| Not Available |
| Full Name | Emily Vaccarezza, Dds, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2446 Fenton St Ste 102, Chula Vista, California |
| Authorized Official Name and Position | Emily Marie Vaccarezza (OWNER) |
| Authorized Official Contact | 2098155244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Vaccarezza, Dds, Inc 2774 Worden St San Diego CA 92110-5704 Ph: (209) 815-5244 | Emily Vaccarezza, Dds, Inc 2446 Fenton St Ste 102 Chula Vista CA 91914-3516 Ph: (619) 216-1100 |
| NPI Number | 1255857942 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 08/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255857942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 101468 (California) | Primary |
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