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Individual
JOSE A DRAGO
Active
Individual
JOSE A DRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
47879
CA
1223G0001X
General Practice Dentistry
Primary
47879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9224101
DENTI CAL
CA
Enumeration date
10/13/2006
Last updated
10/08/2014
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