NPI | 1215206198 |
---|---|
Doing Business As | SEASIDE PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ANTHONY J. SCOMA Owner 858-551-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2011-12-21 |
Last Update Date | 2014-08-19 |