Provider Demographics
NPI:1407987134
Name:PARLE, STEVEN JOHN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOHN
Last Name:PARLE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2796 SYCAMORE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1546
Mailing Address - Country:US
Mailing Address - Phone:805-526-3343
Mailing Address - Fax:
Practice Address - Street 1:2796 SYCAMORE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1546
Practice Address - Country:US
Practice Address - Phone:805-526-3343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA513701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics