Provider Demographics
NPI:1689922114
Name:FERRO, DAVID D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:FERRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 MISSION ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080
Mailing Address - Country:US
Mailing Address - Phone:650-583-2200
Mailing Address - Fax:650-871-8025
Practice Address - Street 1:1135 MISSION RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-1393
Practice Address - Country:US
Practice Address - Phone:650-583-2200
Practice Address - Fax:650-871-8025
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist