Healthcare Provider Details

I. General information

NPI: 1689250284
Provider Name (Legal Business Name): SALAUNI R KARIA DDS APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 10/15/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5375 KEARNY VILLA RD STE 103
SAN DIEGO CA
92123-1422
US

IV. Provider business mailing address

5375 KEARNY VILLA RD STE 103
SAN DIEGO CA
92123-1422
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-5737
  • Fax: 858-277-5773
Mailing address:
  • Phone: 858-277-5737
  • Fax: 858-277-5773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. SALAUNI KARIA
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 858-277-5737