Provider Demographics
NPI:1346703436
Name:STEVEN GO DDS INC.
Entity Type:Organization
Organization Name:STEVEN GO DDS 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:FRANCISCUS
Authorized Official - Last Name:GO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-779-7700
Mailing Address - Street 1:5779 E LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2229
Mailing Address - Country:US
Mailing Address - Phone:714-779-7700
Mailing Address - Fax:
Practice Address - Street 1:5779 E LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2229
Practice Address - Country:US
Practice Address - Phone:714-779-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-07
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental