Provider Demographics
NPI:1407990617
Name:FRIMTZIS, STEVEN REID (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:REID
Last Name:FRIMTZIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45110 CLUB DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:INDIAN WELLS
Mailing Address - State:CA
Mailing Address - Zip Code:92210-8873
Mailing Address - Country:US
Mailing Address - Phone:760-345-6633
Mailing Address - Fax:760-345-5083
Practice Address - Street 1:45110 CLUB DR
Practice Address - Street 2:SUITE C
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-8873
Practice Address - Country:US
Practice Address - Phone:760-345-6633
Practice Address - Fax:760-345-5083
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist