Pacofsky, Todd Webster

Pacofsky, Todd Webster is an individual health care provider with primary practice located at 2446 Fenton St Suite 102, Chula Vista CA 91914-3516. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Pacofsky, Todd Webster can be contacted via phone (619) 216-1100.

Contact Information

Primary practice address
2446 Fenton St Suite 102 Chula Vista CA 91914-3516
Phone: (619) 216-1100
Fax: (619) 216-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 50503 California

Profile Details

NPI number 1699815852
LBN Legal business name Pacofsky, Todd Webster
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 5th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699815852 NPPES
California MEDICAID D50503

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