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

La Jolla Dental Specialty Group

Organization Endodontics · NPI 1316171937

La Jolla Dental Specialty Group is an Endodontics in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

4510 Executive Dr Ste 205
San Diego, CA 92121-3021
Phone: (858) 546-1802
Fax: (858) 546-1242
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 47399 (CA)

Record details

NPI number1316171937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duke Nguyen — Owner · (858) 546-1802
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 11, 2009
Mailing address4510 Executive Dr, Suite 205, San Diego, CA 92121-3021

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