PEDIATRIC DENTISTRY OF SAN CLEMENTE

SAN CLEMENTE, CA
NPI1902687346
Entity TypeOrganization
Authorized ContactJACOB K LEE
CEO
949-361-2838
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-10-11
Last Update Date2023-10-11
Business Address
PEDIATRIC DENTISTRY OF SAN CLEMENTE
903 CALLE AMANECER STE 110
SAN CLEMENTE, CA 92673-6253
Phone number: 949-361-2838
Mailing Address
PEDIATRIC DENTISTRY OF SAN CLEMENTE
903 CALLE AMANECER STE 110
SAN CLEMENTE, CA 92673-6253
Phone number: 949-361-2838
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