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Organization
STEVEN P. THEODOSIS DENTAL CORPORATION
Active
Organization
STEVEN P. THEODOSIS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PAUL THEODOSIS DMD (AUTHORIZED OFFICIAL)
(847) 778-1423
Entity
Organization
Contact information
Practice address
319 CIVIC CENTER DR, VISTA, CA 92084-6143
(760) 630-5000
Mailing address
23911 DANZIG BAY, DANA POINT, CA 92629-4407
(949) 545-8847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
02/13/2026
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