Robert W. Fattouch D.m.d., P.c.
NPI #1619243227 in Poway, California
Provider Information
- NPI Number
- 1619243227
- Entity Type
- Organization
- Organization Name
- Robert W. Fattouch D.m.d., P.c.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 15835 POMERADO RD.
- Address 2
- SUITE 303
- City
- Poway
- State
- California
- ZIP Code
- 92064-2073
- Phone
- (858) 674-4267
Authorized Official
- Name
- DR. ROBERT WADID FATTOUCH, D.M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (858) 674-4261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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