Individual
DR. STEPHEN ROBERT JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
731 WALNUT ST, SAN CARLOS, CA 94070-3179
(650) 430-0186
Mailing address
205 DE ANZA BLVD. #41, SAN MATEO, CA 94402
(650) 430-0186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32858
CA
1223P0300X
Periodontics
Primary
32858
CA
Other
Enumeration date
11/06/2013
Last updated
01/14/2024
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