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Organization
DEMETRAKOPULOS DDS PC
Active
Organization
DEMETRAKOPULOS DDS PC
Active
Other names
Calistoga Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2436 FOOTHILL BLVD STE A, CALISTOGA, CA 94515-1209
(707) 942-5177
Mailing address
2436 FOOTHILL BLVD STE A, CALISTOGA, CA 94515-1209
(707) 942-5177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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