| Erez Nosrati, Dmd, Inc. | |
|
525 Nautilus St La Jolla CA 92037-6139 | |
| (312) 731-5554 | |
| Not Available |
| Full Name | Erez Nosrati, Dmd, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 525 Nautilus St, La Jolla, California |
| Authorized Official Name and Position | Erez Nosrati (PRESIDENT) |
| Authorized Official Contact | 3127315554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erez Nosrati, Dmd, Inc. 5175 Pearlman Way San Diego CA 92130-3715 Ph: (312) 731-5554 | Erez Nosrati, Dmd, Inc. 525 Nautilus St La Jolla CA 92037-6139 Ph: (312) 731-5554 |
| NPI Number | 1902300320 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902300320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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