Provider Demographics
NPI:1043199854
Name:PALOMAR, DANIELA ALEJANDRA (DDS)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:ALEJANDRA
Last Name:PALOMAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:ALEJANDRA
Other - Last Name:PALOMAR NAVARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8657 VILLA LA JOLLA DR STE 211
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-8309
Mailing Address - Country:US
Mailing Address - Phone:858-272-2260
Mailing Address - Fax:
Practice Address - Street 1:8657 VILLA LA JOLLA DR STE 211
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-8309
Practice Address - Country:US
Practice Address - Phone:858-272-2260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS112252122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist