Organization
STEPHANIE A. CORNEJO, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ARROUET CORNEJO DDS (PRESIDENT)
(863) 299-6567
Entity
Organization
Contact information
Practice address
1153 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 299-6567
Mailing address
1153 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 299-6567
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15546
FL
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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