| NPI | 1093372351 |
|---|---|
| Doing Business As | ESCONDIDO PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M FORTNEY CICCARELLA President 760-317-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |