| Studio Of Aesthetic Dentistry | |
|
1510 Railroad Ave Saint Helena CA 94574-1106 | |
| (707) 963-2321 | |
| Not Available |
| Full Name | Studio Of Aesthetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1510 Railroad Ave, 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 |
|---|---|
| Studio Of Aesthetic Dentistry 1510 Railroad Ave Saint Helena CA 94574-1106 Ph: (707) 963-2321 | Studio Of Aesthetic Dentistry 1510 Railroad Ave Saint Helena CA 94574-1106 Ph: (707) 963-2321 |
| NPI Number | 1669862926 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669862926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51677 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 34260 (California) | Secondary |
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