Organization
KERI D.D.S A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZLI KERI DDS (OWNER)
(619) 216-7336
Entity
Organization
Contact information
Practice address
2226 OTAY LAKES RD STE A, CHULA VISTA, CA 91915-1010
(619) 216-7336
(619) 216-2084
Mailing address
2226 OTAY LAKES RD STE A, CHULA VISTA, CA 91915-1010
(619) 216-7336
(619) 216-2084
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42542
CA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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