Fattouch, Robert W

Fattouch, Robert W is an sole proprietor health care provider with primary practice located at 15835 Pomerado Rd Ste 303 , Poway CA 92064-2043. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Fattouch, Robert W can be contacted via phone (858) 674-4261.

Contact Information

Primary practice address
15835 Pomerado Rd Ste 303 Poway CA 92064-2043
Phone: (858) 674-4261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D5481 Arizona
Dental Providers / Pediatric Dentistry 1223P0221X 60280 California

Profile Details

NPI number 1144386194
LBN Legal business name Fattouch, Robert W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Sep 4th, 2020 - about 5 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 1144386194 NPPES
Arizona Other 873902 ACCEHS

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