Organization
LORI J NETTLETON D.D.S., INC
Active
Other names
La Jolla Shores Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI JEAN NETTLETON D.D.S. (DOCTOR/OWNER)
(858) 459-9772
Entity
Organization
Contact information
Practice address
8100 PASEO DEL OCASO, SUITE A, LA JOLLA, CA 92037-3115
(858) 459-9772
(858) 459-9774
Mailing address
8100 PASEO DEL OCASO, SUITE A, LA JOLLA, CA 92037-3115
(858) 459-9772
(858) 459-9774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32883
CA
Other
Enumeration date
04/30/2008
Last updated
09/14/2015
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