Disraeli, Doug

Disraeli, Doug is an individual health care provider with primary practice located at 3645 4Th Ave , San Diego CA 92103-4142. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Disraeli, Doug can be contacted via phone (619) 291-2980.

Contact Information

Primary practice address

3645 4Th Ave San Diego CA 92103-4142

Phone: (619) 291-2980

Fax: (619) 291-2984

Website:

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Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	30322	California

Profile Details

NPI number	1376547703
LBN Legal business name	Disraeli, Doug
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 13th, 2005
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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