Individual
DR. TODD WEBSTER PACOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2446 FENTON ST, SUITE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
(619) 216-1127
Mailing address
2446 FENTON ST, SUITE 102, CHULA VISTA, CA 91914-3516
(619) 216-1100
(619) 216-1127
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
50503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D50503
—
CA
Enumeration date
02/07/2007
Last updated
09/05/2007
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