| NPI | 1053162727 |
|---|---|
| Doing Business As | GLEAM DENTISTRY DENTAL OFFICE OF STEPHANIE DIEGO, DDS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIEGO CEO 209-566-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |