DR. Moutaz Kotrob, DDS
NPI #1043406283 in South San Francisco, California
Provider Information
- NPI Number
- 1043406283
- Entity Type
- Individual
- Name
- DR. Moutaz Kotrob, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 21, 2007
- Last Updated
- Mar 12, 2012
Practice Location
- Address
- 1133 EL CAMINO REAL STE 5
- Address 2
- # B -304
- State
- California
- ZIP Code
- 94080-3288
- Phone
- (650) 244-9928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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