OrganizationActive
A Professional Dental Corporation
NPI 1457218018 · Pediatric Dentistry · La Mesa, CA
Provider details
- NPI number
- 1457218018
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- Stephanie Talbot, Insurance Coordinator
Practice location
8024 La Mesa Blvd
La Mesa, CA 91942-0335
Phone: (619) 461-6166
Fax: (619) 461-2508
Mailing address
8024 La Mesa Blvd
La Mesa, CA 91942-0335
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.