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1770161747
STEPHEN DONOGHUE
TUSTIN, CA
NPI
1770161747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS105793)
Enumeration Date
2021-03-31
Last Update Date
2022-03-16
Business Address
Dr. STEPHEN DONOGHUE DDS
13105 JAMBOREE RD
TUSTIN, CA 92782-9150
Phone number: 714-505-4867
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Mailing Address
Dr. STEPHEN DONOGHUE DDS
13105 JAMBOREE RD
TUSTIN, CA 92782-9150
Phone number: 714-505-4867
Copy
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