Individual provider · Type 1 NPI
Jacquelyn Khanh-Phuong Do, DDS
Pediatric Dentistry · Del Mar, CA
NPI number
1447475413
Active
Practice location
12835 Pointe Del Mar Way Ste 2
Del Mar, CA 92014-3846
Fax (858) 755-0059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 50-052365 (NY) |
| Pediatric Dentistry Primary | 1223P0221X | 61081 (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.
Another provider at this address
About NPI 1447475413
Jacquelyn Khanh-Phuong Do, DDS's National Provider Identifier is 1447475413, issued on Apr 16, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Del Mar, CA. The record was last updated on Mar 26, 2019.