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PAULINE DEMETRAKOPULOS D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1336344332
Individual Registrant: PAULINE DEMETRAKOPULOS D.D.S.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1510 RAILROAD AVE SAINT HELENA, CA 94574-1106 US
Tel: 707-963-2321 Fax: --
Tel: 707-963-2321 Fax: --
Contact information for business:
1510 RAILROAD AVE SAINT HELENA, CA 94574-1106 US
Tel: 707-963-2321 Fax: --
Tel: 707-963-2321 Fax: --
Registration Information:
NPI: 1336344332
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 33078 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
