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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 53671 (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.