Most Relevant Information
Provider Data
| NPI Number: | 1003014093 |
| Provider Name: | CHARLES LEO DRURY DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 48905 |
Most Important Dates
| Enumeration Date: | 07/11/2007 |
| Last Updated: | 07/11/2007 |
Provider Practice Location
5256 S MISSON RD
SUITE 1101
BONSALL
CA
920033624
Practice Location Phone/Fax
| Phone: | 7606305500 |
| Fax: | 7606305831 |
Provider Mailing Location
5256 S MISSON RD
SUITE 1101
BONSALL
CA
920033624
Provider Mailing Phone/Fax
| Phone: | 7606305500 |
| Fax: | 7606305831 |