Susan Ezzati, DDS

NPI #1760548713 in Los Altos, California

Provider Information

NPI Number: 1760548713
Entity Type: Individual
Name: Susan Ezzati, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 881 FREMONT AVE STE B1
City: Los Altos
State: California
ZIP Code: 94024-5637
Phone: (650) 949-4734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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