STEPHANIE J DIEGO

MODESTO, CA
NPI1417571076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  107956)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-29
Last Update Date2024-03-29
Business Address
Dr. STEPHANIE J DIEGO DDS, MPH
1130 COFFEE RD STE 8A
MODESTO, CA 95355-4228
Phone number: 209-225-9696
Mailing Address
Dr. STEPHANIE J DIEGO DDS, MPH
1130 COFFEE RD STE 8A
MODESTO, CA 95355-4228
Phone number: 209-566-1990