KERI D.D.S A PROFESSIONAL CORPORATION NPI 1891030730

NPI Information

  • NPI: 1891030730
  • Provider Name: KERI D.D.S A PROFESSIONAL CORPORATION
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 2226 OTAY LAKES RD STE A
    CHULA VISTA, CA
    ZIP 91915
  • Phone: (619) 216-7336

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NPI Details

KERI D.D.S A PROFESSIONAL CORPORATION is a pediatric dentistry dentist in Chula Vista, CA. The provider is 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. KERI D.D.S A PROFESSIONAL CORPORATION NPI is 1891030730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2226 OTAY LAKES RD STE A
CHULA VISTA, CA
ZIP 91915-010
Phone: (619) 216-7336
Fax: (619) 216-2084

The provider's authorized official is Nazli Keri .
The authorized official title is Owner and has the following contact phone number (619) 216-7336.

The enumeration date for this NPI number is 12/4/2012 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry42542CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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