Organization
STEVEN P. THEODOSIS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PAUL THEODOSIS (AUTHORIZED OFFICIAL)
(847) 778-1423
Entity
Organization
Contact information
Practice address
7805 HIGHLAND VILLAGE PL STE G105, SAN DIEGO, CA 92129-5181
(650) 922-0897
Mailing address
23911 DANZIG BAY, DANA POINT, CA 92629-4407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
02/13/2026
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