Doctor Name: | KYOMI O'CONNOR |
NPI Number: | 1528272366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD, PHD |
License Number: | 5900 |
Business Practice Address: | 50100 Golsh Rd Valley Center, CA - 920825338 |
Business Phone Number: | 7607491410 |
Business Fax Number: | 7607494239 |
Mailing Address: | 3586 Torrey View Ct, SAN DIEGO |
State: | CA |
Postal Code: | 921302635 |
Phone Number: | 8582594757 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 5900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
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. |