| Dr. Paul J. Styrt D.m.d., M.p.h., M.s. | |
|
4510 Executive Dr Plaza Suite 3 San Diego CA 92121-3021 | |
| (858) 458-1088 | |
| (858) 458-1106 |
| Full Name | Dr. Paul J. Styrt D.m.d., M.p.h., M.s. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4510 Executive Dr, San Diego, California |
| Authorized Official Name and Position | Paul J Styrt (OWNER/OPERATOR) |
| Authorized Official Contact | 8584581088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Paul J. Styrt D.m.d., M.p.h., M.s. 4510 Executive Dr Plaza Suite 3 San Diego CA 92121-3021 Ph: (858) 458-1088 | Dr. Paul J. Styrt D.m.d., M.p.h., M.s. 4510 Executive Dr Plaza Suite 3 San Diego CA 92121-3021 Ph: (858) 458-1088 |
| NPI Number | 1568756500 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568756500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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