| W A Stephan, A Dental Corporation | |
|
860 Jamacha Road Suite 201 El Cajon CA 92019 | |
| (619) 593-3000 | |
| (858) 483-1051 |
| Full Name | W A Stephan, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 860 Jamacha Road Suite 201, El Cajon, California |
| Authorized Official Name and Position | Heather Haifa Kiss (OWNER) |
| Authorized Official Contact | 6193009980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W A Stephan, A Dental Corporation 860 Jamacha Road Suite 201 El Cajon CA 92019 Ph: (619) 593-3000 | W A Stephan, A Dental Corporation 860 Jamacha Road Suite 201 El Cajon CA 92019 Ph: (619) 593-3000 |
| NPI Number | 1003616053 |
|---|---|
| Provider Enumeration Date | 03/18/2025 |
| Last Update Date | 03/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003616053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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