Provider Demographics
NPI:1598882094
Name:STEPHEN TAYLOR,DMD, ROBERT HOU, DDS,MD, & ANDREW LEE, DDS,MD, INC.
Entity Type:Organization
Organization Name:STEPHEN TAYLOR,DMD, ROBERT HOU, DDS,MD, & ANDREW LEE, DDS,MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD,DDS
Authorized Official - Phone:909-591-0241
Mailing Address - Street 1:12860 10TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-4294
Mailing Address - Country:US
Mailing Address - Phone:909-591-0241
Mailing Address - Fax:909-591-1691
Practice Address - Street 1:12860 10TH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-4294
Practice Address - Country:US
Practice Address - Phone:909-591-0241
Practice Address - Fax:909-591-1691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty