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Individual

DR. ALEXANDER KAREEM DESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
43000 MIDWAY AVE BLDG 595, SAN DIEGO, CA 92140-1884
(619) 524-4009
Mailing address
11447 MONTICOOK CT, SAN DIEGO, CA 92127-3128
(808) 389-5802

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
57679
CA
1223E0200X
Endodontics
Primary
57679
CA

Other

Enumeration date
09/11/2008
Last updated
02/27/2020
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