| NPI | 1326475203 |
|---|---|
| Doing Business As | CARLSBAD PEDIATRIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARTA ANNE PENMAN Dentist 760-845-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46363) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44056) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |