person
Dr. Doug Disraeli, DDS
General Practice Dentistry in San Diego, California
NPI 1376547703

Doug Disraeli is a General Practice Dentistry based in San Diego, CA and is specialized in General Practice. Doug Disraeli practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Doug Disraeli is 1376547703 and holds a License No. 30322 (California).

The current practice location address for Doug Disraeli is 3645 4Th Ave, San Diego, CA and can be reached out via phone at 619-291-2980 and via fax at 619-291-2984.

Location: 3645 4Th Ave, San Diego, CA, 92103-4142
person
Provider Profile Details
NPI Number
1376547703
Provider Name
Doug Disraeli
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3645 4Th Ave, San Diego, CA, 92103-4142
Phone Number
619-291-2980
Fax Number
619-291-2984
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3645 4Th Ave
City
State
Zip
92103-4142
Phone Number
619-291-2980
Fax Number
619-291-2984
person
Provider Business Mailing Address Details
Address
3645 4Th Ave
City
State
Zip
92103-4142
Phone Number
619-291-2980
Fax Number
619-291-2984
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
30322 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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