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Individual

DR. DARYL PROCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4282 GOLDEN CENTER DR STE 2, SUITE 2, PLACERVILLE, CA 95667-6286
(530) 622-1525
(951) 697-6807
Mailing address
4282 GOLDEN CENTER DR STE 2, SUITE 2, PLACERVILLE, CA 95667-6286

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41776
CA

Other

Enumeration date
11/30/2006
Last updated
05/20/2020
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