| David P Derosier Dds Inc | |
|
3019 Emerson Street San Diego CA 92106-2603 | |
| (619) 222-7400 | |
| (619) 222-7018 |
| Full Name | David P Derosier Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3019 Emerson Street, San Diego, California |
| Authorized Official Name and Position | David Paul Derosier (DR OWNER) |
| Authorized Official Contact | 6192227400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David P Derosier Dds Inc 3019 Emerson Street San Diego CA 92106-2603 Ph: (619) 222-7400 | David P Derosier Dds Inc 3019 Emerson Street San Diego CA 92106-2603 Ph: (619) 222-7400 |
| NPI Number | 1013978477 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013978477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35869 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 35869 (California) | Secondary |
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