Provider Demographics
NPI:1689679276
Name:CZEKALA, STEVEN ROY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROY
Last Name:CZEKALA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9301 FIRCREST LN
Mailing Address - Street 2:STE 7
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3960
Mailing Address - Country:US
Mailing Address - Phone:925-828-5335
Mailing Address - Fax:925-829-6170
Practice Address - Street 1:9301 FIRCREST LN
Practice Address - Street 2:STE 7
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3960
Practice Address - Country:US
Practice Address - Phone:925-828-5335
Practice Address - Fax:925-829-6170
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAD356031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice