Provider Demographics
NPI:1336211838
Name:SEMRAU, DAVID D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:SEMRAU
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 1:24482 ALICIA PKWY.
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-4534
Mailing Address - Country:US
Mailing Address - Phone:949-586-9800
Mailing Address - Fax:949-586-7659
Practice Address - Street 1:24481 ALICIA PKWY
Practice Address - Street 2:SUITE B-3
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-4534
Practice Address - Country:US
Practice Address - Phone:949-586-9800
Practice Address - Fax:949-586-7659
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice