| Diana Craft Dds Inc. | |
|
1161 Puerta Del Sol Suite 100 San Clemente CA 92673-6311 | |
| (949) 218-0433 | |
| Not Available |
| Full Name | Diana Craft Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1161 Puerta Del Sol, San Clemente, California |
| Authorized Official Name and Position | Diana Craft (OWNER/ DENTIST) |
| Authorized Official Contact | 9492180433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Craft Dds Inc. 1161 Puerta Del Sol Suite 100 San Clemente CA 92673-6311 Ph: (949) 218-0433 | Diana Craft Dds Inc. 1161 Puerta Del Sol Suite 100 San Clemente CA 92673-6311 Ph: (949) 218-0433 |
| NPI Number | 1326441718 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 09/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326441718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58674 (California) | Primary |
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