Steven P. Theodosis Dental Corporation | |
319 Civic Center Dr Vista CA 92084-6143 | |
(760) 630-5000 | |
Not Available |
Full Name | Steven P. Theodosis Dental Corporation |
---|---|
Speciality | Dentist |
Location | 319 Civic Center Dr, Vista, California |
Authorized Official Name and Position | Steven Paul Theodosis (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8477781423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Steven P. Theodosis Dental Corporation 23911 Danzig Bay Dana Point CA 92629-4407 Ph: (949) 545-8847 | Steven P. Theodosis Dental Corporation 319 Civic Center Dr Vista CA 92084-6143 Ph: (760) 630-5000 |
NPI Number | 1083327845 |
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Provider Enumeration Date | 12/26/2022 |
Last Update Date | 12/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083327845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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