Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 41735 | CA |
NPI | 1013042977 |
---|---|
Provider Name | Dr. Christopher S Hydo |
First Address | Solana Beach, CA 92075-1349 |
Second Address | Solana Beach, CA 92075-1349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 07/01/2010 |