Provider Demographics
NPI:1124348081
Name:STEVE HOANG NGUYEN DDS, A DENTAL CORPORATION
Entity type:Organization
Organization Name:STEVE HOANG NGUYEN DDS, A DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-304-7401
Mailing Address - Street 1:24837 JEFFERSON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-7720
Mailing Address - Country:US
Mailing Address - Phone:951-304-7401
Mailing Address - Fax:951-304-7403
Practice Address - Street 1:24837 JEFFERSON AVE STE 206
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-7720
Practice Address - Country:US
Practice Address - Phone:951-304-7401
Practice Address - Fax:951-304-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental