# S. STEVEN PODSTRELENY, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** S. STEVEN PODSTRELENY, DDS P.C.
- **Other names:** Park Blvd Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023322468
- **Legal business name:** S. STEVEN PODSTRELENY, DDS P.C.
- **Authorized official:** DR. STJEPAN STEVEN PODSTRELENY DDS (OWNER)
- **Authorized official phone:** (619) 795-0154

## Contact information

- **Practice address:** 4067 PARK BLVD, SAN DIEGO, CA 92103-2619
- **Practice address phone:** (619) 795-0154
- **Practice address fax:** (619) 795-0512
- **Mailing address:** 4067 PARK BLVD, SAN DIEGO, CA 92103-2619
- **Mailing address phone:** (619) 795-0154
- **Mailing address fax:** (619) 795-0512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 50861 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/16/2019