Pablo Enrique Liciaga in San Diego - Dentist
Pablo Enrique Liciaga - NPI 1033126677
Pablo Enrique Liciaga is a Dentist in San Diego, California. Pablo Enrique Liciaga practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pablo Enrique Liciaga is 1033126677. The last update date is 2007-07-08.
Pablo Enrique Liciaga's current location address is 2115 Bacon St, San Diego, California. You can contact this provider via phone number 6192242986 and fax number 6192242982. The mailing address for Pablo Enrique Liciaga is 2115 Bacon St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pablo Enrique Liciaga |
|---|---|
| Address | 2115 Bacon St, San Diego, California |
| Phone Number | 6192242986 |
| Fax Number | 6192242982 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1033126677 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2115 Bacon St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92107 |
| Phone Number | 6192242986 |
| Fax Number | 6192242982 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 49365 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Pablo Enrique Liciaga by the Centers for Medicare & Medicaid Services?
The Pablo Enrique Liciaga has been issued the NPI (National Provider Identifier) 1033126677 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Pablo Enrique Liciaga located?
The Pablo Enrique Liciaga is located at 2115 Bacon St, San Diego, CA 92107.
What is the Pablo Enrique Liciaga's area of specialization and corresponding taxonomy classification?
The Pablo Enrique Liciaga's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1033126677 assigned to Pablo Enrique Liciaga?
The Pablo Enrique Liciaga was issued its 1033126677 on 2006-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Pablo Enrique Liciaga, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pablo Enrique Liciaga, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.