Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lajolla Cosmetic & Family Dentistry Inc

Organization General Practice Dentistry · NPI 1497946933

Lajolla Cosmetic & Family Dentistry Inc provides General Practice Dentistry in LA Jolla, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

470 Nautilus St # 212
LA Jolla, CA 92037 Not confirmed with CMS for 18 years — call before visiting
Phone: (858) 459-5591
Fax: (858) 459-4242
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 44055 (CA)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 44055 (CA)

Record details

NPI number1497946933
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLajolla Cosmetic & Family Dentistry Inc
Authorized official Nick Pavlov — Dentist · (858) 459-5591
NPI enumeratedAugust 8, 2007
Last updated in NPPESMay 28, 2008
Mailing address470 Nautilus St, 212, La Jolla, CA 92037

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