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Organization
DIANA CRAFT DDS INC.
Active
Organization
DIANA CRAFT DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CRAFT DDS (OWNER/ DENTIST)
(949) 218-0433
Entity
Organization
Contact information
Practice address
1161 PUERTA DEL SOL, SUITE 100, SAN CLEMENTE, CA 92673-6311
(949) 218-0433
Mailing address
1161 PUERTA DEL SOL, SUITE 100, SAN CLEMENTE, CA 92673-6311
(949) 218-0433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58674
CA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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