Steven Gorgas Detsch, D.D.S.

NPI #1184920811 in Bonita, California

Provider Information

NPI Number: 1184920811
Entity Type: Individual
Name: Steven Gorgas Detsch, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 4115 THE HILL RD
City: Bonita
State: California
ZIP Code: 91902-2343
Phone: (619) 787-5690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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