DR. Doug Disraeli, D.D.S.

NPI #1376547703 in San Diego, California

Provider Information

NPI Number
1376547703
Entity Type
Individual
Name
DR. Doug Disraeli, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 13, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
3645 4TH AVE
ZIP Code
92103-4142
Phone
(619) 291-2980

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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