Individual
STEPHEN DEPIRRO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
740 AVENUE H STE 2, SEASIDE, OR 97138-6603
(833) 909-1050
Mailing address
5791 JADEITE AVE, ALTA LOMA, CA 91737-2264
(253) 370-8190
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN-60139787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN-60139787
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
DT-DO-10130609
OREGON DEPARTMENT OF HEALTH
OR
Enumeration date
02/15/2018
Last updated
03/17/2018
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