Organization
EMILY VACCAREZZA, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MARIE VACCAREZZA DDS (OWNER)
(209) 815-5244
Entity
Organization
Contact information
Practice address
2446 FENTON ST STE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
Mailing address
2774 WORDEN ST, SAN DIEGO, CA 92110-5704
(209) 815-5244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101468
CA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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