Individual
DR. CHARLES LEO DRURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5256 S MISSON RD, SUITE 1101, BONSALL, CA 92003-3624
(760) 630-5500
(760) 630-5831
Mailing address
5256 S MISSON RD, SUITE 1101, BONSALL, CA 92003-3624
(760) 630-5500
(760) 630-5831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1753898
UNITED CONCORDIA
—
01
—
48905
DELTA
—
Enumeration date
07/11/2007
Last updated
07/11/2007
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