Provider Demographics
NPI:1831391101
Name:STEPHEN D. HARADA, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:STEPHEN D. HARADA, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARADA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-781-1974
Mailing Address - Street 1:500 SANSOME ST STE 604
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3222
Mailing Address - Country:US
Mailing Address - Phone:415-781-1974
Mailing Address - Fax:415-781-2527
Practice Address - Street 1:500 SANSOME ST STE 604
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-3222
Practice Address - Country:US
Practice Address - Phone:415-781-1974
Practice Address - Fax:415-781-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty