Individual
MR. DEAN A EZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
776 WEST NAPA STREET, SONOMA, CA 95476
(707) 938-8116
(707) 938-8143
Mailing address
776 WEST NAPA STREET, SONOMA, CA 95476
(707) 938-8116
(707) 938-8143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
55207
CA
332H00000X
Eyewear Supplier
5520T
CA
Other
Enumeration date
01/30/2006
Last updated
04/06/2009
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