Lajolla Cosmetic & Family Dentistry INC
NPI #1497946933 in La Jolla, California
Provider Information
- NPI Number
- 1497946933
- Entity Type
- Organization
- Organization Name
- Lajolla Cosmetic & Family Dentistry INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAJOLLA COSMETIC & FAMILY DENTISTRY INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 8, 2007
- Last Updated
- May 28, 2008
Practice Location
- Address
- 470 NAUTILUS ST
- Address 2
- # 212
- City
- La Jolla
- State
- California
- ZIP Code
- 92037
- Phone
- (858) 459-5591
Authorized Official
- Name
- NICK PAVLOV, DDS
- Title
- DENTIST
- Phone
- (858) 459-5591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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