STEVEN P. THEODOSIS DENTAL CORPORATION

SAN DIEGO, CA
NPI1760102628
Entity TypeOrganization
Authorized ContactSTEVEN PAUL THEODOSIS
Authorized Official
847-778-1423
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-08-31
Last Update Date2022-12-26
Business Address
STEVEN P. THEODOSIS DENTAL CORPORATION
7805 HIGHLAND VILLAGE PL STE G105
SAN DIEGO, CA 92129-5181
Phone number: 650-922-0897
Mailing Address
STEVEN P. THEODOSIS DENTAL CORPORATION
23911 DANZIG BAY
DANA POINT, CA 92629-4407
Phone number:
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