Central Coast Pediatric Dental Group
NPI #1942333059 in Seaside, California
Provider Information
- NPI Number
- 1942333059
- Entity Type
- Organization
- Organization Name
- Central Coast Pediatric Dental Group
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1717 FREMONT BLVD
- City
- Seaside
- State
- California
- ZIP Code
- 93955
- Phone
- (831) 899-5437
Authorized Official
- Name
- MRS. ANNA M LIZAOLA
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (831) 442-8878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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