Provider Demographics
NPI:1962017582
Name:1 STEP DENTAL
Entity Type:Organization
Organization Name:1 STEP DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-465-3784
Mailing Address - Street 1:7025 BERACASA WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3444
Mailing Address - Country:US
Mailing Address - Phone:561-465-3784
Mailing Address - Fax:561-430-3419
Practice Address - Street 1:7025 BERACASA WAY STE 203
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3444
Practice Address - Country:US
Practice Address - Phone:561-465-3784
Practice Address - Fax:561-430-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental