Individual
STEVEN GORGAS DETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4115 THE HILL RD, BONITA, CA 91902-2343
(619) 787-5690
Mailing address
4115 THE HILL RD, BONITA, CA 91902-2343
(619) 787-5690
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22879
CA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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