Stephen Donoghue Dds Inc | |
13105 Jamboree Rd Tustin CA 92782-9150 | |
(714) 505-4867 | |
Not Available |
Full Name | Stephen Donoghue Dds Inc |
---|---|
Speciality | Clinic/center - Dental |
Location | 13105 Jamboree Rd, Tustin, California |
Authorized Official Name and Position | Stephen Donoghue (PRESIDENT) |
Authorized Official Contact | 7148563939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephen Donoghue Dds Inc 13105 Jamboree Rd Tustin CA 92782-9150 Ph: (714) 505-4867 | Stephen Donoghue Dds Inc 13105 Jamboree Rd Tustin CA 92782-9150 Ph: (714) 505-4867 |
NPI Number | 1851176846 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 08/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851176846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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