Individual provider · Type 1 NPI

Susan Leary, DDS

Pediatric Dentistry · San Diego, CA

NPI number 1477614717 Active

Practice location

3020 Children's Way MC#5127
San Diego, CA 92123-4223

Fax (858) 966-8097

Mailing address

276 B Ave
Coronado, CA 92118-1975

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X53671 (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 1477614717

Susan Leary, DDS's National Provider Identifier is 1477614717, issued on Dec 12, 2006. 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 9, 2007.