Provider Demographics
NPI:1669521134
Name:STEINBERG, RICHARD D (DDS)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:STEINBERG
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 1:9131 FLETCHER PKWY
Mailing Address - Street 2:#112
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9131 FLETCHER PKWY
Practice Address - Street 2:#112
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3426
Practice Address - Country:US
Practice Address - Phone:619-463-9307
Practice Address - Fax:619-463-1760
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA226731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice