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Mary M. O'connor, Dds, Inc
Pediatric Dentist in San Diego, California
NPI 1700070646

Mary M. O'connor, Dds, Inc is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Mary M. O'connor, Dds, Inc practices in San Diego, CA. The NPI Number for Mary M. O'connor, Dds, Inc is 1700070646 and holds a License No. 38072 (California).

The current practice location address for Mary M. O'connor, Dds, Inc is 420 Spruce St Ste A, San Diego, CA and can be reached out via phone at 619-291-5291 and via fax at 619-291-9755.

Location: 420 Spruce St Ste A, San Diego, CA, 92103-5859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700070646
Provider Name
Mary M. O'connor, Dds, Inc
Credential
Provider Entity Type
Organization
Address
420 Spruce St Ste A, San Diego, CA, 92103-5859
Phone Number
619-291-5291
Fax Number
619-291-9755
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
514126 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
420 Spruce St Ste A
City
San Diego
State
California
Zip
92103-5859
Phone Number
619-291-5291
Fax Number
619-291-9755
person
Provider Business Mailing Address Details
Address
420 Spruce St Ste A
City
San Diego
State
California
Zip
92103-5859
Phone Number
619-291-5291
Fax Number
619-291-9755
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
38072 (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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