DOUG DISRAELI

SAN DIEGO, CA
NPI1376547703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  30322)
Enumeration Date2005-06-13
Last Update Date2007-07-08
Business Address
Dr. DOUG DISRAELI D.D.S.
3645 4TH AVE
SAN DIEGO, CA 92103-4142
Phone number: 619-291-2980
Mailing Address
Dr. DOUG DISRAELI D.D.S.
3645 4TH AVE
SAN DIEGO, CA 92103-4142
Phone number: 619-291-2980
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