Organization
EREZ NOSRATI, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EREZ NOSRATI DMD (PRESIDENT)
(312) 731-5554
Entity
Organization
Contact information
Practice address
525 NAUTILUS ST, LA JOLLA, CA 92037-6139
(312) 731-5554
Mailing address
5175 PEARLMAN WAY, SAN DIEGO, CA 92130-3715
(312) 731-5554
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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