Organization
PN DEQUIROZ DDS INC
Active
Other names
CENTRAL COAST DENTAL IMPLANT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARAON NOLASCO DEQUIROZ DDS (PRESIDENT)
(760) 815-2835
Entity
Organization
Contact information
Practice address
2503 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1657
(805) 934-4500
(805) 934-5263
Mailing address
2503 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1657
(805) 934-4500
(805) 934-5263
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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