Provider Demographics
NPI:1497808240
Name:MARGULIES, STEVEN ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANDREW
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32241 CROWN VALLEY PKWY
Mailing Address - Street 2:#270
Mailing Address - City:MONARCH BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3346
Mailing Address - Country:US
Mailing Address - Phone:949-240-7547
Mailing Address - Fax:949-240-7243
Practice Address - Street 1:32241 CROWN VALLEY PKWY
Practice Address - Street 2:#270
Practice Address - City:MONARCH BEACH
Practice Address - State:CA
Practice Address - Zip Code:92629-3346
Practice Address - Country:US
Practice Address - Phone:949-240-7547
Practice Address - Fax:949-240-7243
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice