Individual
EMILY VACCAREZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2446 FENTON ST STE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
(619) 216-1127
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
05/19/2015
Last updated
07/21/2022
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