OrganizationW A Stephan, A Dental CorporationDentistDental ProvidersPractice Address860 Jamacha Road Suite 201, El Cajon, CA 92019(619) 593-3000PECOS EnrollmentBased on the most recent information from CMS, provider W A Stephan, A Dental Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003616053Provider TypeOrganizationFull NameW A Stephan, A Dental CorporationSubpartNoEnumeration Date3/18/2025Last Updated3/18/2025Contact InformationPractice LocationPractice Address860 Jamacha Road Suite 201, El Cajon, CA 92019Phone(619) 593-3000Fax(858) 483-1051Mailing LocationMailing Address860 Jamacha Road Suite 201, El Cajon, CA 92019Phone(619) 593-3000Fax(858) 483-1051Authorized OfficialNameKiss, Heather Haifa (Owner)Phone(619) 300-9980Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer