Organization · Type 2 NPI

Grand Legacy Dental

General Practice Dentistry · San Diego, CA

NPI number 1932079878 Active

Practice location

2654 4th Ave
San Diego, CA 92103-6515

Call (619) 234-7493 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1932079878

Grand Legacy Dental's National Provider Identifier is 1932079878, issued on Nov 6, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Nov 6, 2025.