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Contact Information

ALEXANDER K DESTA, DDS
43000 MIDWAY AVE BLDG 595
SAN DIEGO, CA92140-1884
 Phone: 619-524-4009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALEXANDER K DESTA · (Male)

NPI # 1477702629
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/11/2008
Last updated 02/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 57679
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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