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Organization
STEVEN P. THEODOSIS DENTAL CORPORATION
Active
Organization
STEVEN P. THEODOSIS DENTAL CORPORATION
Active
Parent organization
ALEC J TEMLOCK DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEC J TEMLOCK DENTAL CORPORATION
Authorized official
PATRICIA SMITH RDH (DIRECTOR)
(775) 762-9455
Entity
Organization
Contact information
Practice address
27131 CALLE ARROYO STE 203, SAN JUAN CAPISTRANO, CA 92675-2700
(775) 762-9455
Mailing address
27131 CALLE ARROYO STE 203, SAN JUAN CAPISTRANO, CA 92675-2700
(775) 762-9455
(858) 724-3596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/29/2022
Last updated
02/13/2026
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