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Dr. Kouros Izadi, DMD
Oral and Maxillofacial Surgery (Dentist) in San Marcos, California
NPI 1902914021

Kouros Izadi is a Oral and Maxillofacial Surgery (Dentist) based in Irvine, CA and is specialized in Oral and Maxillofacial Surgery. Kouros Izadi practices in San Marcos, CA and has the professional credentials of DMD. The NPI Number for Kouros Izadi is 1902914021 and holds a License No. 53519 (California).

The current practice location address for Kouros Izadi is 709 Center Dr, San Marcos, CA and can be reached out via phone at 760-746-2045 and via fax at 760-746-2033. You can also correspond with Kouros Izadi through the mailing address at 2860 MICHELLE, IRVINE, CA - 92606-1009 (mailing address contact number: 714-508-3600).

Location: 709 Center Dr, San Marcos, CA, 92606-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902914021
Provider Name
Kouros Izadi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
709 Center Dr, San Marcos, CA, 92606-1009
Phone Number
760-746-2045
Fax Number
760-746-2033
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
709 Center Dr
City
San Marcos
State
California
Zip
92069-3536
Phone Number
760-746-2045
Fax Number
760-746-2033
person
Provider Business Mailing Address Details
Address
709 Center Dr
City
San Marcos
State
California
Zip
92069-3536
Phone Number
760-746-2045
Fax Number
760-746-2033
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
53519 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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