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Individual
DR. EREZ NOSRATI
Active
Individual
DR. EREZ NOSRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, MSC
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028808
IL
1223P0300X
Periodontics
Primary
019028808
IL
Other
Enumeration date
09/07/2011
Last updated
10/11/2012
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