Individual
DR. STEPHEN SPIRITOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3434 DOUGLAS RD, SOUTH BEND, IN 46635-1776
(574) 273-8393
Mailing address
3434 DOUGLAS RD, SOUTH BEND, IN 46635-1776
(574) 273-8393
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12012636A
IN
Other
Enumeration date
01/29/2015
Last updated
02/13/2020
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