Healthcare Provider Details

I. General information

NPI: 1144109463
Provider Name (Legal Business Name): SONIA GIRON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 SANTA FE DR
ENCINITAS CA
92024-5134
US

IV. Provider business mailing address

2251 ALTISMA WAY UNIT 107
CARLSBAD CA
92009-6366
US

V. Phone/Fax

Practice location:
  • Phone: 760-388-2161
  • Fax:
Mailing address:
  • Phone: 760-575-2610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: