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Stephen Depirro II, LD
Denturist in Seaside, Oregon
NPI 1548760630

Stephen Depirro II is a Denturist based in Alta Loma, OR. Stephen Depirro II practices in Seaside, OR and has the professional credentials of LD. The NPI Number for Stephen Depirro II is 1548760630 and holds a License No. DN-60139787 (Oregon).

The current practice location address for Stephen Depirro II is 740 Avenue H Ste 2, Seaside, OR and can be reached out via phone at 833-909-1050.

Location: 740 Avenue H Ste 2, Seaside, OR, 91737-2264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548760630
Provider Name
Stephen Depirro II
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
740 Avenue H Ste 2, Seaside, OR, 91737-2264
Phone Number
833-909-1050
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN-60139787 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
DT-DO-10130609 01 OR OREGON DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
740 Avenue H Ste 2
City
Seaside
State
Oregon
Zip
97138-6603
Phone Number
833-909-1050
Fax Number
person
Provider Business Mailing Address Details
Address
740 Avenue H Ste 2
City
Seaside
State
Oregon
Zip
97138-6603
Phone Number
833-909-1050
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN-60139787 (Washington)
Definition
Definition to come.
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