Organization · Type 2 NPI

Steven P. Theodosis Dental Corporation

Dental Clinic/Center · San Diego, CA

NPI number 1760102628 Active

Practice location

7805 Highland Village Pl Ste G105
San Diego, CA 92129-5181

Call (650) 922-0897 Map

Mailing address

23911 Danzig Bay
Dana Point, CA 92629-4407

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1760102628

Steven P. Theodosis Dental Corporation's National Provider Identifier is 1760102628, issued on Aug 31, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Diego, CA. The record was last updated on Feb 13, 2026.