Justin N Naylor DDS Professional Dental Corp
Dentist, Endodontics in San Diego, CA. Organization (NPI-2).
NPI number1093554677
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1093554677
- Entity type
- Organization (NPI-2)
- Legal business name
- Justin N Naylor DDS Professional Dental Corp
- Organization subpart
- No
- Enumeration date
- May 22, 2024
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Other names
- Carmel Valley Endodontics (Doing Business As)
Practice location
12264 El Camino Real Ste 206San Diego, CA 92130-3061
Phone 858-755-4787 · Fax 858-755-7704
Mailing address
12264 El Camino Real Ste 206San Diego, CA 92130-3061
Phone 858-755-4787 · Fax 858-755-7704
Authorized official
Justin N Naylor
Endodontist/Owner
8587554787
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