Duffy C. De Graw D.d.s. a Professional Corporation

NPI #1376820597 in Los Osos, California

Provider Information

NPI Number: 1376820597
Entity Type: Organization
Organization Name: Duffy C. De Graw D.d.s. a Professional Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 2238 BAYVIEW HEIGHTS DR STE F
City: Los Osos
State: California
ZIP Code: 93402-3932
Phone: (805) 528-3000

Authorized Official

Name: DR. DUFFY CHARLES DE GRAW, D.D.S.
Title: CEO
Phone: (805) 528-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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