Individual
CAITLIN NICOLE GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5308 LAKE MURRAY BLVD STE E, LA MESA, CA 91942-1334
(619) 469-4144
Mailing address
969 MARKET ST UNIT 1601, SAN DIEGO, CA 92101-7291
(202) 412-5287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109018
CA
Other
Enumeration date
07/31/2023
Last updated
10/07/2025
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