Susan Ezzati DDS

NPI 1760548713 - Dentist - 122300000X

NPI Details
NPI 1760548713
Gender Female
Enumeration Date 12/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
881 FREMONT AVE STE B1
LOS ALTOS CA, 94024-5637, US
Phone (650) 949-4734
Fax (650) 949-5710
Business Location
881 FREMONT AVE STE B1
LOS ALTOS CA, 94024-5637, US
Phone (650) 949-4734
Fax (650) 949-5710
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 35491
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According to our database, Susan Ezzati DDS NPI is 1760548713, taxonomy code is 122300000X and license number is 35491, license state is located at California. Susan Ezzati DDS physically located at 881 Fremont Ave Ste B1, Los Altos CA, 94024-5637. NPI Number Susan Ezzati DDS has the Individual type.

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1760548713 NPI number is provided on an as is basis without warranty of any kind. 1760548713 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Ezzati DDS are for informational purposes only.