Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bubalo Dental Corporation

Organization Dentist · NPI 1649070061

Bubalo Dental Corporation is a Dentist in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

306 Walnut Ave Ste 24
San Diego, CA 92103-4980
Phone: (619) 232-1005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1649070061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Bubalo — Owner Dentist · (408) 466-4197
NPI enumeratedMarch 14, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address306 Walnut Ave Ste 24, San Diego, CA 92103-4980

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