DR PABLO ENRIQUE LICIAGA DDS

SAN DIEGO, CA
NPI1295801561
Entity TypeOrganization
Authorized ContactPABLO ENRIQUE LICIAGA
Dentist
619-224-2986
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  49365)
Enumeration Date2006-11-28
Last Update Date2015-01-28
Business Address
DR PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
Mailing Address
DR PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986