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1508076498
DONALD BASIL DREVNA
SAN DIEGO, CA
NPI
1508076498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 954726363)
Enumeration Date
2007-05-22
Last Update Date
2014-02-06
Business Address
Dr. DONALD BASIL DREVNA D.M.D.
4166 MONROE AVE UNIT #1
SAN DIEGO, CA 92116-4773
Phone number: 760-550-0059
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Mailing Address
Dr. DONALD BASIL DREVNA D.M.D.
4166 MONROE AVE UNIT #1
SAN DIEGO, CA 92116-4773
Phone number: 760-550-0059
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