PABLO ENRIQUE LICIAGA

SAN DIEGO, CA
NPI1033126677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  49365)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
Mailing Address
-- PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986