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

Mira Mesa Dental & Orthodontic Office

Organization General Practice Dentistry · NPI 1124104336

Mira Mesa Dental & Orthodontic Office is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

9750 Miramar Rd Ste 260
San Diego, CA 92126
Phone: (858) 566-5050
Fax: (858) 566-7414
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20326 (CA)

Record details

NPI number1124104336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Johnson — Administrator · (858) 566-5050
NPI enumeratedOctober 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9750 Miramar Road, Suite 260, San Diego, CA 92126

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