Partnership For The Children Of San Luis Obispo

NPI 1295139590 - Dentist - 1223P0221X

NPI Details
NPI 1295139590
Enumeration Date 10/15/2014
Last Updated 10/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SUZANNE SUZANNE
Position CLINIC DIRECTOR
Phone (805) 238-2216
Fax (805) 238-6470
Practice Location
3071 SOUTH HIGUERA
SUITE 101
SAN LUIS OBISPO CA, 93401, US
Phone (805) 238-2216
Fax (805) 238-6470
Business Location
717 WALNUT DR
PASO ROBLES CA, 93446-2315, US
Phone (805) 238-5334
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number D50253
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According to our database, Partnership For The Children Of San Luis Obispo NPI is 1295139590, taxonomy code is 1223P0221X and license number is D50253, license state is located at California. Partnership For The Children Of San Luis Obispo physically located at 3071 South Higuera, San Luis Obispo CA, 93401. NPI Number 1033115704 has the healthcare provider type.

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1295139590 NPI number is provided on an as is basis without warranty of any kind. 1295139590 is maintained by the National Plan & Provider Enumeration System. The contents of Partnership For The Children Of San Luis Obispo are for informational purposes only.