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8100 Paseo Del Ocaso Suite A La Jolla CA 92037-3115 | |
| (858) 459-9772 | |
| (858) 459-9774 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8100 Paseo Del Ocaso, La Jolla, California |
| Authorized Official Name and Position | Lori Jean Nettleton (DOCTOR/OWNER) |
| Authorized Official Contact | 8584599772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8100 Paseo Del Ocaso Suite A La Jolla CA 92037-3115 Ph: (858) 459-9772 | 8100 Paseo Del Ocaso Suite A La Jolla CA 92037-3115 Ph: (858) 459-9772 |
| NPI Number | 1629244694 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629244694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32883 (California) | Primary |
Private Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 Villa La Jolla Dr Ste B124, La Jolla, CA 92037 Phone: 858-457-3610 Fax: 858-457-4025 | |
Gavin J. Miller, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4130 La Jolla Village Dr Ste 205, La Jolla, CA 92037 Phone: 858-546-7667 Fax: 858-546-7693 | |
Neni Shriver,dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7817 Ivanhoe Ave, Ste 304, La Jolla, CA 92037 Phone: 858-456-4442 Fax: 858-456-4443 | |
Tran Murray Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5731 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-459-0229 Fax: 702-932-9406 | |
David E. Brockett D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7804 Ivanhoe Ave., La Jolla, CA 92037 Phone: 858-454-1468 Fax: 858-454-1696 | |