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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 (AUTHORIZED OFFICIAL)
(847) 778-1423
Entity
Organization
Contact information
Practice address
7805 HIGHLAND VILLAGE PL STE G105, SAN DIEGO, CA 92129-5181
(650) 922-0897
Mailing address
23911 DANZIG BAY, DANA POINT, CA 92629-4407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
02/13/2026
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