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Individual

DR. JOHN STEVEN SKUPAS

Active
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Individual

DR. JOHN STEVEN SKUPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5028
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217457
TRIGON BLUE SHIELD
—
01
—
36201
DENTAL BENEFIT PROVIDERS
—
01
—
406
DOMINION DENTAL
—
01
—
5901
CAREFIRST
—
01
—
7670
DENTAL NETWORK
—
Enumeration date
10/28/2006
Last updated
07/08/2007
About Stedi
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