Individual
KYOMI O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, PHD
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
(760) 749-4239
Mailing address
3586 TORREY VIEW CT, SAN DIEGO, CA 92130-2635
(858) 259-4757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12357
MD
1223P0221X
Pediatric Dentistry
Primary
45943
CA
1223P0221X
Pediatric Dentistry
5900
DC
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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