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Stephen Depirro, LD

NPI 1548760630 · on the registry since 2018

Practice

Address
740 Avenue H Ste 2
Seaside, OR 97138
Phone
(833) 909-1050
Organisation at this address
The Smile Store, Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1220 State Avenue, Marysville, WA

Registry record

Primary taxonomy
122400000X
122400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon