Individual
STEPHEN ALEXANDER YAMODIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2D DENTAL BATTALION, NAVAL DENTAL CENTER, CAMP LEJEUNE, NC 29405
(910) 451-2208
(910) 451-2208
Mailing address
PSC BOX 20130, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PS036724
PA
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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