Erez Nosrati, Dmd, Inc.
NPI #1902300320 in La Jolla, California
Provider Information
- NPI Number
- 1902300320
- Entity Type
- Organization
- Organization Name
- Erez Nosrati, Dmd, Inc.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Mar 20, 2018
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 525 NAUTILUS ST
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-6139
- Phone
- (312) 731-5554
Authorized Official
- Name
- EREZ NOSRATI, DMD
- Title
- PRESIDENT
- Phone
- (312) 731-5554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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