Individual
DR. GABRIEL MARCOS MIZRAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
36264
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36264
CA
Other
Enumeration date
01/31/2007
Last updated
12/08/2010
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