Individual provider · Type 1 NPI

Grace Catherine Fedor, DDS

General Practice Dentistry · San Diego, CA

NPI number 1174076004 Active

Practice location

5638 Mission Center Rd, Ste 107
San Diego, CA 92108-4348

Call (619) 220-0159 Map

Mailing address

11253 Miro Cir
San Diego, CA 92131-3313

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1000550 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1174076004

Grace Catherine Fedor, DDS's National Provider Identifier is 1174076004, issued on Jul 27, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 27, 2016.