| Duffy C. De Graw D.d.s. A Professional Corporation | |
|
2238 Bayview Heights Dr Ste F Los Osos CA 93402-3932 | |
| (805) 528-3000 | |
| (805) 528-3080 |
| Full Name | Duffy C. De Graw D.d.s. A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2238 Bayview Heights Dr Ste F, Los Osos, California |
| Authorized Official Name and Position | Duffy Charles De Graw (CEO) |
| Authorized Official Contact | 8055283000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duffy C. De Graw D.d.s. A Professional Corporation 2238 Bayview Heights Dr Ste F Los Osos CA 93402-3932 Ph: (805) 528-3000 | Duffy C. De Graw D.d.s. A Professional Corporation 2238 Bayview Heights Dr Ste F Los Osos CA 93402-3932 Ph: (805) 528-3000 |
| NPI Number | 1376820597 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376820597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57262 (California) | Primary |
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Los Osos Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2098 9th St, Ste. C, Los Osos, CA 93402 Phone: 805-528-2200 Fax: 805-528-2225 | |
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