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Pacific Pediatric Dentistry
Pediatric Dentist in San Luis Obispo, California
NPI 1144739715

Pacific Pediatric Dentistry is a Pediatric Dentist based in San Luis Obispo, CA and is specialized in Pediatric Dentistry. Pacific Pediatric Dentistry practices in San Luis Obispo, CA. The NPI Number for Pacific Pediatric Dentistry is 1144739715 and holds a License No. 54656 (California).

The current practice location address for Pacific Pediatric Dentistry is 1231 Osos St, San Luis Obispo, CA and can be reached out via phone at 805-544-3434 and via fax at 805-544-3443.

Location: 1231 Osos St, San Luis Obispo, CA, 93401-3619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144739715
Provider Name
Pacific Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1231 Osos St, San Luis Obispo, CA, 93401-3619
Phone Number
805-544-3434
Fax Number
805-544-3443
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1231 Osos St
City
San Luis Obispo
State
California
Zip
93401-3619
Phone Number
805-544-3434
Fax Number
805-544-3443
person
Provider Business Mailing Address Details
Address
1231 Osos St
City
San Luis Obispo
State
California
Zip
93401-3619
Phone Number
805-544-3434
Fax Number
805-544-3443
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
54656 (California)
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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