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Stephanie Peacock
General Practice Dentistry in La Mesa, California
NPI 1417524539

Stephanie Peacock is a General Practice Dentistry based in San Diego, CA and is specialized in General Practice. Stephanie Peacock practices in La Mesa, CA. The NPI Number for Stephanie Peacock is 1417524539 and holds a License No. 108449 (California).

The current practice location address for Stephanie Peacock is 8530 La Mesa Blvd, La Mesa, CA and can be reached out via phone at 619-494-2492.

Location: 8530 La Mesa Blvd, La Mesa, CA, 92103-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417524539
Provider Name
Stephanie Peacock
Credential
Provider Entity Type
Individual
Gender
Female
Address
8530 La Mesa Blvd, La Mesa, CA, 92103-1946
Phone Number
619-494-2492
Fax Number
Provider Enumeration Date
06/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8530 La Mesa Blvd
City
La Mesa
State
California
Zip
91942
Phone Number
619-494-2492
Fax Number
person
Provider Business Mailing Address Details
Address
8530 La Mesa Blvd
City
La Mesa
State
California
Zip
91942
Phone Number
619-494-2492
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
108449 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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