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1346960218
STEVEN P. THEODOSIS DENTAL CORPORATION
SAN DIEGO, CA
NPI
1346960218
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Entity Type
Organization
Authorized Contact
STEVEN PAUL THEODOSIS
Authorized Official
847-778-1423
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-08-31
Last Update Date
2022-12-26
Business Address
STEVEN P. THEODOSIS DENTAL CORPORATION
11515 EL CAMINO REAL STE 160
SAN DIEGO, CA 92130-3037
Phone number: 858-500-5711
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Mailing Address
STEVEN P. THEODOSIS DENTAL CORPORATION
23911 DANZIG BAY
DANA POINT, CA 92629-4407
Phone number:
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