| Doctor Name: | DR. ROBERT W FATTOUCH |
| NPI Number: | 1144386194 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | D5481 |
| Business Practice Address: | 15835 Pomerado Rd Suite 303 Poway, CA - 920642073 |
| Business Phone Number: | 8586744261 |
| Business Fax Number: | 8586760258 |
| Mailing Address: | 15835 Pomerado Rd, Suite 303 POWAY |
| State: | CA |
| Postal Code: | 920642073 |
| Phone Number: | 8586744261 |
| Fax Number: | 8586760258 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 01/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | D5481 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | 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. |