Private Dental Group
NPI #1033609433 in La Jolla, California
Provider Information
- NPI Number
- 1033609433
- Entity Type
- Organization
- Organization Name
- Private Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 11, 2018
- Last Updated
- Jan 23, 2025
Practice Location
- Address
- 8950 VILLA LA JOLLA DR STE B124
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1704
- Phone
- (858) 457-3610
Authorized Official
- Name
- ROBERT C. KIM, DDS
- Title
- PRESIDENT
- Phone
- (858) 457-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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