Doctor Name: | DR. GABRIEL MARCOS MIZRAJI |
NPI Number: | 1528105277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS, MS |
License Number: | 36264 |
Business Practice Address: | 550 Deep Valley Dr Ste 345 Rolling Hills Estates, CA - 902747603 |
Business Phone Number: | 3103774551 |
Business Fax Number: | |
Mailing Address: | 5330 E El Prado Ave, LONG BEACH |
State: | CA |
Postal Code: | 908153909 |
Phone Number: | 5624987337 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 36264 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |