Central Coast Pediatric Dental Group
NPI #1205922705 in Salinas, California
Provider Information
- NPI Number
- 1205922705
- Entity Type
- Organization
- Organization Name
- Central Coast Pediatric Dental Group
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Mar 29, 2021
Practice Location
- Address
- 633 E ALVIN DR STE B
- City
- Salinas
- State
- California
- ZIP Code
- 93906-3000
- Phone
- (831) 443-1177
Authorized Official
- Name
- ANNA M LIZAOLA
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (831) 442-8878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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