| NPI | 1629244694 |
|---|---|
| Doing Business As | LA JOLLA SHORES DENTAL |
| Entity Type | Organization |
| Authorized Contact | LORI JEAN NETTLETON Doctor/Owner 858-459-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 32883) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-09-14 |