DR. DOUG DISRAELI, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1376547703
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 30322 (CA) |
Frequently Asked Questions
NPI 1376547703 is the National Provider Identifier for DR. DOUG DISRAELI, D.D.S., a Dentist - General Practice provider located in San Diego, CA. This NPI was enumerated on June 13, 2005.
DR. DOUG DISRAELI, D.D.S. practices at 3645 4TH AVE, San Diego, CA 92103.
Quick Facts
- NPI
- 1376547703
- Type
- Individual
- Enumerated
- Jun 13, 2005
- Last Updated
- Jul 8, 2007
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