Provider Demographics
NPI:1780087460
Name:HOWARD, CURTIS (DDS)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
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 1:9950 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
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice