| Stephanie A. Cornejo, Dds, Pa | |
|
1153 1st St S Winter Haven FL 33880-3902 | |
| (863) 299-6567 | |
| Not Available |
| Full Name | Stephanie A. Cornejo, Dds, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1153 1st St S, Winter Haven, Florida |
| Authorized Official Name and Position | Stephanie Arrouet Cornejo (PRESIDENT) |
| Authorized Official Contact | 8632996567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A. Cornejo, Dds, Pa 1153 1st St S Winter Haven FL 33880-3902 Ph: (863) 299-6567 | Stephanie A. Cornejo, Dds, Pa 1153 1st St S Winter Haven FL 33880-3902 Ph: (863) 299-6567 |
| NPI Number | 1912096256 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912096256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN15546 (Florida) | Primary |
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