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Organization
JOSE A DRAGO RUTH I DRAGO DDS INC
Active
Organization
JOSE A DRAGO RUTH I DRAGO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE DRAGO DDS (OWNER)
(760) 732-1428
Entity
Organization
Contact information
Practice address
951 E VISTA WAY, VISTA, CA 92084
(760) 732-1428
(760) 732-0192
Mailing address
951 E VISTA WAY, VISTA, CA 92084
(760) 732-1428
(760) 732-0192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47072
CA
1223G0001X
General Practice Dentistry
Primary
47879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9224101
DENTI CAL
CA
Enumeration date
11/09/2006
Last updated
11/07/2014
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