Provider Demographics
NPI:1679671184
Name:PAKIZ, STEVEN LANCE (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LANCE
Last Name:PAKIZ
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 1:1777 BELLFLOWER BLVD
Mailing Address - Street 2:#213
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815
Mailing Address - Country:US
Mailing Address - Phone:562-597-7830
Mailing Address - Fax:562-986-5660
Practice Address - Street 1:1777 BELLFLOWER BLVD
Practice Address - Street 2:#213
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815
Practice Address - Country:US
Practice Address - Phone:562-597-7830
Practice Address - Fax:562-986-5660
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36271122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist