Provider Demographics
NPI:1942356829
Name:DUONG, STEVE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:DUONG
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 1:8540 RESEDA BLVD
Mailing Address - Street 2:#101
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4628
Mailing Address - Country:US
Mailing Address - Phone:818-701-6667
Mailing Address - Fax:818-701-0418
Practice Address - Street 1:8540 RESEDA BLVD
Practice Address - Street 2:#101
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4628
Practice Address - Country:US
Practice Address - Phone:818-701-6667
Practice Address - Fax:818-701-0418
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43783122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist