Provider Demographics
NPI:1760495931
Name:STROMBERG, LOUIS Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:Z
Last Name:STROMBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13622 BEAR VALLEY RD
Mailing Address - Street 2:STE. 10
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-8509
Mailing Address - Country:US
Mailing Address - Phone:760-245-2010
Mailing Address - Fax:760-245-8934
Practice Address - Street 1:2860 MICHELLE DRIVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606
Practice Address - Country:US
Practice Address - Phone:714-508-3600
Practice Address - Fax:714-368-2092
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA308791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice