Organization
DAVID P DEROSIER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL DEROSIER DDS (DR OWNER)
(619) 222-7400
Entity
Organization
Contact information
Practice address
3019 EMERSON STREET, SAN DIEGO, CA 92106-2603
(619) 222-7400
(619) 222-7018
Mailing address
3019 EMERSON STREET, SAN DIEGO, CA 92106-2603
(619) 222-7400
(619) 222-7018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35869
CA
1223G0001X
General Practice Dentistry
35869
CA
Other
Enumeration date
03/28/2006
Last updated
05/05/2008
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