Organization
STELIOTES DENTAL SPA RPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE PETER STELIOTES DMD (PRESIDENT)
(724) 942-4445
Entity
Organization
Contact information
Practice address
4249 WASHINGTON RD, MCMURRAY, PA 15317-2565
(724) 942-4445
(724) 942-5380
Mailing address
4249 WASHINGTON RD, MCMURRAY, PA 15317-2565
(724) 942-4445
(724) 942-5380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028308L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001346750
UCCI PRACTICE ID
PA
Enumeration date
01/22/2007
Last updated
06/08/2009
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