| Jose A Drago Ruth I Drago Dds Inc | |
|
951 E Vista Way Vista CA 92084 | |
| (760) 732-1428 | |
| (760) 732-0192 |
| Full Name | Jose A Drago Ruth I Drago Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 951 E Vista Way, Vista, California |
| Authorized Official Name and Position | Jose Drago (OWNER) |
| Authorized Official Contact | 7607321428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Drago Ruth I Drago Dds Inc 951 E Vista Way Vista CA 92084 Ph: (760) 732-1428 | Jose A Drago Ruth I Drago Dds Inc 951 E Vista Way Vista CA 92084 Ph: (760) 732-1428 |
| NPI Number | 1154491975 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154491975 | NPI | - | NPPES |
| G9224101 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47879 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 47072 (California) | Secondary |
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