| NPI | 1003616053 |
|---|---|
| Doing Business As | STEPHAN FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HEATHER HAIFA KISS Owner 619-300-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |