Organization
STEPHEN DONOGHUE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DONOGHUE DDS (PRESIDENT)
(714) 856-3939
Entity
Organization
Contact information
Practice address
13105 JAMBOREE RD, TUSTIN, CA 92782-9150
(714) 505-4867
Mailing address
13105 JAMBOREE RD, TUSTIN, CA 92782-9150
(714) 505-4867
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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