Provider Demographics
NPI:1114564705
Name:STEVEN DBD INC
Entity Type:Organization
Organization Name:STEVEN DBD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-628-7000
Mailing Address - Street 1:2983 CHINO AVE STE A5
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3576
Mailing Address - Country:US
Mailing Address - Phone:909-628-7000
Mailing Address - Fax:909-628-6039
Practice Address - Street 1:2983 CHINO AVE STE A5
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3576
Practice Address - Country:US
Practice Address - Phone:909-628-7000
Practice Address - Fax:909-628-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty