Individual
DR. DONALD BASIL DREVNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4166 MONROE AVE, UNIT #1, SAN DIEGO, CA 92116-4773
(760) 550-0059
Mailing address
4166 MONROE AVE, UNIT #1, SAN DIEGO, CA 92116-4773
(760) 550-0059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
954726363
CA
Other
Enumeration date
05/22/2007
Last updated
02/06/2014
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