Individual
DR. GUY CARLETON LICHTY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3030 CHILDRENS WAY, SUITE 107, SAN DIEGO, CA 92123-4232
(858) 492-9977
Mailing address
PO BOX 530869, SAN DIEGO, CA 92153-0869
(619) 421-9132
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27644
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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