Provider Demographics
NPI:1164607115
Name:CATHERINE SCHLAHT DDS AND MAREY E. STONE DDS
Entity Type:Organization
Organization Name:CATHERINE SCHLAHT DDS AND MAREY E. STONE DDS
Other - Org Name:MAREY E. STONE DDS APC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:GEN. PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-465-8077
Mailing Address - Street 1:8077 LA MESA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6434
Mailing Address - Country:US
Mailing Address - Phone:619-465-8077
Mailing Address - Fax:619-463-4943
Practice Address - Street 1:8077 LA MESA BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-6434
Practice Address - Country:US
Practice Address - Phone:619-465-8077
Practice Address - Fax:619-463-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392401223G0001X
CA525301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty