Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 100729 | CA |
NPI | 1831644053 |
---|---|
Provider Name | Dr. Marco Savittieri |
First Address | San Diego, CA 92130-3507 |
Second Address | San Diego, CA 92130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2016 |
Last Update Date | 16/05/2018 |