DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR PABLO ENRIQUE LICIAGA DDS

Active Organization

DR PABLO ENRIQUE LICIAGA DDS is a Dentist organization located in SAN DIEGO, California. NPI 1295801561 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN DIEGO, CA

Registration Details

NPI Number
1295801561
Provider Type
Organization
NPI Issued
Nov 28, 2006 (19.525348202374 yrs)
Last Updated
Jan 28, 2015
License
49365 (CA)

Practice Information

Address
2115 BACON ST
SAN DIEGO, CA, 92107
Browse CA providers · Browse ZIP 92107
Phone
6192242986
Fax
6192242982
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in SAN DIEGO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.