Provider Demographics
NPI:1720486962
Name:DR. CURTIS L HOWARD, DDS, INC
Entity Type:Organization
Organization Name:DR. CURTIS L HOWARD, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-463-2097
Mailing Address - Street 1:9950 CAMPO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-1629
Mailing Address - Country:US
Mailing Address - Phone:619-463-2097
Mailing Address - Fax:619-463-2521
Practice Address - Street 1:9950 CAMPO RD STE 102
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-1629
Practice Address - Country:US
Practice Address - Phone:619-463-2097
Practice Address - Fax:619-463-2521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty