| Demetrakopulos Dds Pc | |
|
2436 Foothill Blvd Ste A Calistoga CA 94515-1209 | |
| (707) 942-5177 | |
| Not Available |
| Full Name | Demetrakopulos Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2436 Foothill Blvd Ste A, Calistoga, California |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demetrakopulos Dds Pc 2436 Foothill Blvd Ste A Calistoga CA 94515-1209 Ph: (707) 942-5177 | Demetrakopulos Dds Pc 2436 Foothill Blvd Ste A Calistoga CA 94515-1209 Ph: (707) 942-5177 |
| NPI Number | 1083204226 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083204226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |