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Organization
STUDIO OF AESTHETIC DENTISTRY
Active
Organization
STUDIO OF AESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE DEMETRAKOPULOS DDS (SOLE PROPRIETOR)
(707) 963-2321
Entity
Organization
Contact information
Practice address
1510 RAILROAD AVE, SAINT HELENA, CA 94574-1106
(707) 963-2321
Mailing address
1510 RAILROAD AVE, SAINT HELENA, CA 94574-1106
(707) 963-2321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51677
CA
1223P0300X
Periodontics
34260
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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