Individual provider · Type 1 NPI

Guy Carleton Lichty Ii, DDS

Pediatric Dentistry · San Diego, CA

NPI number 1376682583 Active

Practice location

3030 Childrens Way, Suite 107
San Diego, CA 92123-4232

Call (858) 492-9977 Map

Mailing address

PO Box 530869
San Diego, CA 92153-0869

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X27644 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1376682583

Guy Carleton Lichty Ii, DDS's National Provider Identifier is 1376682583, issued on Feb 5, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.