Provider Demographics
NPI:1770730608
Name:DICK S. HOYOS, D.D.S., INC.
Entity type:Organization
Organization Name:DICK S. HOYOS, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DICK
Authorized Official - Middle Name:SERGIO
Authorized Official - Last Name:HOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-775-1300
Mailing Address - Street 1:9514 RESEDA BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2308
Mailing Address - Country:US
Mailing Address - Phone:818-775-1300
Mailing Address - Fax:818-775-1465
Practice Address - Street 1:9514 RESEDA BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2308
Practice Address - Country:US
Practice Address - Phone:818-775-1300
Practice Address - Fax:818-775-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54425261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental