Individual
DR. STEPHEN PATRICK O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5550 CARMEL MOUNTAIN RD STE 200, SAN DIEGO, CA 92130-4861
(619) 630-4000
Mailing address
11580 COMPASS POINT DR N APT 61, SAN DIEGO, CA 92126-8556
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS104542
CA
Other
Enumeration date
04/25/2019
Last updated
10/18/2022
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