Pediatric Dentistry of San Clemente
Pediatric Dentistry of San Clemente provides Dental Clinic/Center services in San Clemente, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
903 Calle Amanecer Ste 110San Clemente, CA 92673-6253
Phone: (949) 361-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1902687346 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Lee — Ceo · (949) 361-2838 |
| NPI enumerated | October 11, 2023 |
| Last updated in NPPES | October 11, 2023 |
| Certification date | October 11, 2023 |
| Mailing address | 903 Calle Amanecer Ste 110, San Clemente, CA 92673-6253 |
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Johnson & Rollolazo, a Professional Corporation
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Kristen Ritzau DDS, Inc
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Kyu Lee DMD, Inc
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