Provider Demographics
NPI:1881633345
Name:HOWARD, DUNCAN GREENE (DDS)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:GREENE
Last Name:HOWARD
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 1:1710 W CAMERON AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2720
Mailing Address - Country:US
Mailing Address - Phone:626-962-3559
Mailing Address - Fax:
Practice Address - Street 1:1710 W CAMERON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2720
Practice Address - Country:US
Practice Address - Phone:626-962-3559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA219031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice