Provider Demographics
NPI:1073609277
Name:RAPPAPORT, ERELA KATZ (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERELA
Middle Name:KATZ
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15706 POMERADO RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2067
Mailing Address - Country:US
Mailing Address - Phone:858-726-5554
Mailing Address - Fax:858-487-4281
Practice Address - Street 1:15706 POMERADO RD
Practice Address - Street 2:SUITE 205
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2067
Practice Address - Country:US
Practice Address - Phone:858-726-5554
Practice Address - Fax:858-487-4281
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA401871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice