Individual
STEPHANIE ALARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
104359
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104359
CA
Other
Enumeration date
10/21/2019
Last updated
03/01/2022
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