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Organization
STEPHAN FAMILY DENTAL A DENTAL CORPORATION
Active
Organization
STEPHAN FAMILY DENTAL A DENTAL CORPORATION
Active
Other names
Stephan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALEED STEPHAN DDS (DENTIST)
(619) 593-3000
Entity
Organization
Contact information
Practice address
860 JAMACHA RD, SUITE 201, EL CAJON, CA 92019-6206
(619) 593-3000
(619) 593-3002
Mailing address
860 JAMACHA RD, SUITE 201, EL CAJON, CA 92019-6206
(619) 593-3000
(619) 593-3002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
10/01/2020
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