Dr Pablo Enrique Liciaga DDS
Dr Pablo Enrique Liciaga DDS is a Dentist in San Diego, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
2115 Bacon StSan Diego, CA 92107
Phone: (619) 224-2986
Fax: (619) 224-2982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 49365 (CA) |
|---|
Record details
| NPI number | 1295801561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pablo Liciaga — Dentist · (619) 224-2986 |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | January 28, 2015 |
| Mailing address | 2115 Bacon St, San Diego, CA 92107 |
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