Individual
DR. CORY MICHAEL NASOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2630 E GAGE AVE, HUNTINGTON PARK, CA 90255-4122
(323) 584-2198
Mailing address
1102 NEOLA ST, LOS ANGELES, CA 90041-2406
(510) 599-3297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS104551
CA
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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