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Dr. Guy Carleton Lichty II, DDS
Pediatric Dentist in San Diego, California
NPI 1376682583

Guy Carleton Lichty II is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Guy Carleton Lichty II practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Guy Carleton Lichty II is 1376682583 and holds a License No. 27644 (California).

The current practice location address for Guy Carleton Lichty II is 3030 Childrens Way, San Diego, CA and can be reached out via phone at 858-492-9977. You can also correspond with Guy Carleton Lichty II through the mailing address at PO BOX 530869, SAN DIEGO, CA - 92153-0869 (mailing address contact number: 619-421-9132).

Location: 3030 Childrens Way, San Diego, CA, 92153-0869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376682583
Provider Name
Guy Carleton Lichty II
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3030 Childrens Way, San Diego, CA, 92153-0869
Phone Number
858-492-9977
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3030 Childrens Way
City
San Diego
State
California
Zip
92123-4232
Phone Number
858-492-9977
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 530869
City
San Diego
State
California
Zip
92153-0869
Phone Number
619-421-9132
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
27644 (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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