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Dr. Robert W Fattouch, DMD
Pediatric Dentist in Poway, California
NPI 1144386194

Robert W Fattouch is a Pediatric Dentist based in Poway, CA and is specialized in Pediatric Dentistry. Robert W Fattouch practices in Poway, CA and has the professional credentials of DMD. The NPI Number for Robert W Fattouch is 1144386194 and holds a License No. D5481 (California).

The current practice location address for Robert W Fattouch is 15835 Pomerado Rd Ste 303, Poway, CA and can be reached out via phone at 858-674-4261.

Location: 15835 Pomerado Rd Ste 303, Poway, CA, 92064-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144386194
Provider Name
Robert W Fattouch
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15835 Pomerado Rd Ste 303, Poway, CA, 92064-2073
Phone Number
858-674-4261
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873902 01 AZ ACCEHS
institution
Provider Business Practice Location Address Details
Address
15835 Pomerado Rd Ste 303
City
Poway
State
California
Zip
92064-2043
Phone Number
858-674-4261
Fax Number
person
Provider Business Mailing Address Details
Address
15835 Pomerado Rd Ste 303
City
Poway
State
California
Zip
92064-2043
Phone Number
858-674-4261
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D5481 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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