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1487493813
STEPHEN ALLEN OTANES
LOMA LINDA, CA
NPI
1487493813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
Dr. STEPHEN ALLEN OTANES DDS
11092 ANDERSON ST
LOMA LINDA, CA 92350-1706
Phone number: 909-558-4222
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Mailing Address
Dr. STEPHEN ALLEN OTANES DDS
11093 BOREN AVE
LOMA LINDA, CA 92354-6518
Phone number: 407-637-1945
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