DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUG DISRAELI, D.D.S.

Active

General Dentistry · SAN DIEGO, CA

Registration Details

NPI Number
1376547703
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2005 (20.874656781475 yrs)
Last Updated
Jul 8, 2007
License
30322 (CA)

Practice Information

Address
3645 4TH AVE
SAN DIEGO, CA, 921034142
Browse CA providers · Browse ZIP 92103
Phone
6192912980
Fax
6192912984
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SAN DIEGO, CA

Name Credential NPI
DR. GEORGE JOHN STRATIGOPOULOS D.D.S. 1467455410
GORDANA MILATOVIC DDS 1366445363
CLAUDINE WAI-TING TSUI DDS 1235131368
DR. CAROL GOMEZ SUMMERHAYS D.D.S 1346244621
DR. HARRIET F SELDIN DMD 1104821156
DR. SUSAN VIVIEN B CHADKEWICZ DMD 1053318048
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.