Pn Dequiroz DDS INC

NPI #1679057186 in Santa Maria, California

Provider Information

NPI Number
1679057186
Entity Type
Organization
Organization Name
Pn Dequiroz DDS INC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Sep 20, 2018
Last Updated
Sep 20, 2018

Practice Location

Address
2503 PROFESSIONAL PKWY
ZIP Code
93455-1657
Phone
(805) 934-4500

Authorized Official

Name
DR. PARAON NOLASCO DEQUIROZ, DDS
Title
PRESIDENT
Phone
(760) 815-2835

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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