Provider Demographics
NPI:1053460857
Name:OKAMOTO, STEVEN K IX (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:OKAMOTO
Suffix:IX
Gender:M
Credentials:DDS
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Mailing Address - Street 1:22330 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2536
Mailing Address - Country:US
Mailing Address - Phone:310-378-4244
Mailing Address - Fax:310-378-0164
Practice Address - Street 1:22330 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 316
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2536
Practice Address - Country:US
Practice Address - Phone:310-378-4244
Practice Address - Fax:310-378-0164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA0326011223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics