| Saint Helena Dental Group | |
|
1485 Main St Saint Helena CA 94574-1850 | |
| (707) 963-2339 | |
| Not Available |
| Full Name | Saint Helena Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1485 Main St, Saint Helena, California |
| Authorized Official Name and Position | Pauline Demetrakopulos (SOLE PROPRIETOR) |
| Authorized Official Contact | 7079632321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Helena Dental Group 1485 Main St Saint Helena CA 94574-1850 Ph: (707) 963-2339 | Saint Helena Dental Group 1485 Main St Saint Helena CA 94574-1850 Ph: (707) 963-2339 |
| NPI Number | 1376933770 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376933770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27125 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 51677 (California) | Secondary |
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