Provider Demographics
NPI:1417154303
Name:HOWARD FLEINER, D.D.S.
Entity Type:Organization
Organization Name:HOWARD FLEINER, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-241-4184
Mailing Address - Street 1:500 N CENTRAL AVE
Mailing Address - Street 2:SUITE 730
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3905
Mailing Address - Country:US
Mailing Address - Phone:818-241-4184
Mailing Address - Fax:818-502-9412
Practice Address - Street 1:500 N CENTRAL AVE
Practice Address - Street 2:SUITE 730
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3905
Practice Address - Country:US
Practice Address - Phone:818-241-4184
Practice Address - Fax:818-502-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty