person
Mrs. Susan Leary, DDS
Pediatric Dentist in San Diego, California
NPI 1477614717

Susan Leary is a Pediatric Dentist based in Coronado, CA and is specialized in Pediatric Dentistry. Susan Leary practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Susan Leary is 1477614717 and holds a License No. 53671 (California).

The current practice location address for Susan Leary is 3020 Children's Way Mc#5127, San Diego, CA and can be reached out via phone at 858-966-4094 and via fax at 858-966-8097.

Location: 3020 Children's Way Mc#5127, San Diego, CA, 92118-1975
person
Provider Profile Details
NPI Number
1477614717
Provider Name
Susan Leary
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3020 Children's Way Mc#5127, San Diego, CA, 92118-1975
Phone Number
858-966-4094
Fax Number
858-966-8097
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D53671 05 CA
institution
Provider Business Practice Location Address Details
Address
3020 Children's Way Mc#5127
City
State
Zip
92123-4223
Phone Number
858-966-4094
Fax Number
858-966-8097
person
Provider Business Mailing Address Details
Address
3020 Children's Way Mc#5127
City
State
Zip
92123-4223
Phone Number
858-966-4094
Fax Number
858-966-8097
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
53671 (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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