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Organization
SAINT HELENA DENTAL GROUP
Active
Organization
SAINT HELENA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE DEMETRAKOPULOS DDS (SOLE PROPRIETOR)
(707) 963-2321
Entity
Organization
Contact information
Practice address
1485 MAIN ST, SAINT HELENA, CA 94574-1850
(707) 963-2339
Mailing address
1485 MAIN ST, SAINT HELENA, CA 94574-1850
(707) 963-2339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27125
CA
1223P0300X
Periodontics
51677
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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