Provider Demographics
NPI:1477983203
Name:DR STEVE HUANG DMD INC
Entity Type:Organization
Organization Name:DR STEVE HUANG DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:CHIA
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:909-829-3535
Mailing Address - Street 1:16989 VALLEY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-6826
Mailing Address - Country:US
Mailing Address - Phone:909-829-3535
Mailing Address - Fax:909-829-8557
Practice Address - Street 1:16989 VALLEY BLVD STE B
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6826
Practice Address - Country:US
Practice Address - Phone:909-829-3535
Practice Address - Fax:909-829-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57306122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty