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Individual

PROF. BRETT M NAGATANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
925 W 34TH ST STE 124C, LOS ANGELES, CA 90089-0641
(213) 740-1080
Mailing address
11551 AMALFI WAY, PORTER RANCH, CA 91326-4099
(323) 440-3584

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
22375
TX
1223E0200X
Endodontics
Primary
55266
CA
1223E0200X
Endodontics
DT - 2276
HI

Other

Enumeration date
02/01/2006
Last updated
09/12/2014
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