Individual provider · Type 1 NPI
Nina Bubalo, DDS
General Practice Dentistry · San Diego, CA
NPI number
1992327456
Active
Practice location
306 Walnut Ave Ste 24
San Diego, CA 92103-4980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | E20969 (CA) |
| General Practice Dentistry Primary | 1223G0001X | 107926 (CA) |
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 1992327456
Nina Bubalo, DDS's National Provider Identifier is 1992327456, issued on May 7, 2020. 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 Jul 17, 2025.