Individual
DR. ROBERT W FATTOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15835 POMERADO RD STE 303, POWAY, CA 92064-2043
(858) 674-4261
Mailing address
15835 POMERADO RD, SUITE 303, POWAY, CA 92064-2073
(858) 674-4261
(858) 676-0258
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60280
CA
1223P0221X
Pediatric Dentistry
D5481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
873902
ACCEHS
AZ
Enumeration date
12/27/2006
Last updated
09/04/2020
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