Provider Demographics
NPI:1407877194
Name:OZER, STEVEN WOLFF (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WOLFF
Last Name:OZER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 MANHATTAN BEACH BLVD STE C232
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5345
Mailing Address - Country:US
Mailing Address - Phone:310-545-4440
Mailing Address - Fax:310-545-4441
Practice Address - Street 1:451 MANHATTAN BEACH BLVD STE C232
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5345
Practice Address - Country:US
Practice Address - Phone:310-545-4440
Practice Address - Fax:310-545-4441
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice