Provider Demographics
NPI:1487848537
Name:STEPHEN H ASHER DDS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:STEPHEN H ASHER DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ASHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-828-6684
Mailing Address - Street 1:2901 WILSHIRE BLVD
Mailing Address - Street 2:#205
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4933
Mailing Address - Country:US
Mailing Address - Phone:310-828-6684
Mailing Address - Fax:310-828-6504
Practice Address - Street 1:2901 WILSHIRE BLVD
Practice Address - Street 2:#205
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4933
Practice Address - Country:US
Practice Address - Phone:310-828-6684
Practice Address - Fax:310-828-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22574122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty