DR. Kouros Izadi, DMD
NPI #1902914021 in San Marcos, California
Provider Information
- NPI Number
- 1902914021
- Entity Type
- Individual
- Name
- DR. Kouros Izadi, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DMD
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 709 CENTER DR
- Address 2
- STE. 101
- City
- San Marcos
- State
- California
- ZIP Code
- 92069-3536
- Phone
- (760) 746-2045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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