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1376682583
GUY CARLETON LICHTY
SAN DIEGO, CA
NPI
1376682583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 27644)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. GUY CARLETON LICHTY D.D.S.
3030 CHILDRENS WAY SUITE 107
SAN DIEGO, CA 92123-4232
Phone number: 858-492-9977
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Mailing Address
Dr. GUY CARLETON LICHTY D.D.S.
PO BOX 530869
SAN DIEGO, CA 92153-0869
Phone number: 619-421-9132
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