Organization
DEYO DENTAL CORPORATION
Active
Other names
Stellar Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DEYO DDS, MS (ORTHODONTIST)
(310) 913-9013
Entity
Organization
Contact information
Practice address
960 W SAN MARCOS BLVD STE 100, SAN MARCOS, CA 92078-1122
(310) 913-9013
Mailing address
1293 HOLMGROVE DR, SAN MARCOS, CA 92078-2800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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