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

Lajolla Cosmetic & Family Dentistry Inc

Organization General Practice Dentistry · NPI 1497946933

Lajolla Cosmetic & Family Dentistry Inc is a General Practice Dentistry in LA Jolla, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

470 Nautilus St # 212
LA Jolla, CA 92037
Phone: (858) 459-5591
Fax: (858) 459-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 44055 (CA)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 44055 (CA)

Record details

NPI number1497946933
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLajolla Cosmetic & Family Dentistry Inc
Authorized official Nick Pavlov — Dentist · (858) 459-5591
NPI enumeratedAugust 8, 2007
Last updated in NPPESMay 28, 2008
Mailing address470 Nautilus St, 212, La Jolla, CA 92037

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