DR. Stephen R Prevost, D.D.S.
NPI #1306064928 in Pacifica, California
Provider Information
- NPI Number
- 1306064928
- Entity Type
- Individual
- Name
- DR. Stephen R Prevost, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 205 ROCKAWAY BEACH AVE
- City
- Pacifica
- State
- California
- ZIP Code
- 94044-3262
- Phone
- (650) 355-3126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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