Organization · Type 2 NPI
Robert W. Fattouch D.m.d., P.c.
Pediatric Dentistry · Poway, CA
NPI number
1619243227
Active
Practice location
15835 Pomerado Rd., Suite 303
Poway, CA 92064-2073
Fax (858) 676-0258
Mailing address
15835 Pomerado Rd, Suite 303
Poway, CA 92064-2073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 60280 (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.
Other pediatric dentistry providers in Poway
About NPI 1619243227
Robert W. Fattouch D.m.d., P.c.'s National Provider Identifier is 1619243227, issued on Mar 28, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Poway, CA. The record was last updated on Mar 28, 2012.