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Organization
P DEMETRAKOPULOS DDS PC
Active
Organization
P DEMETRAKOPULOS DDS PC
Active
Other names
Graton 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
1400 MEDICAL CENTER DR STE C, ROHNERT PARK, CA 94928-2924
(707) 706-2028
Mailing address
1400 MEDICAL CENTER DR STE C, ROHNERT PARK, CA 94928-2924
(707) 706-2028
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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