| Private Dental Group | |
|
8950 Villa La Jolla Dr Ste B124 La Jolla CA 92037-1704 | |
| (858) 457-3610 | |
| (858) 457-4025 |
| Full Name | Private Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8950 Villa La Jolla Dr Ste B124, La Jolla, California |
| Authorized Official Name and Position | Robert C. Kim (PRESIDENT) |
| Authorized Official Contact | 8584573610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Dental Group 8950 Villa La Jolla Dr Ste B124 La Jolla CA 92037-1704 Ph: (858) 457-3610 | Private Dental Group 8950 Villa La Jolla Dr Ste B124 La Jolla CA 92037-1704 Ph: (858) 457-3610 |
| NPI Number | 1033609433 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033609433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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 | |