Provider Demographics
NPI:1124113428
Name:TSUCHIDA, STEVEN HIROYUKI (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HIROYUKI
Last Name:TSUCHIDA
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 1:4202 DOUGLAS BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746
Mailing Address - Country:US
Mailing Address - Phone:916-989-2420
Mailing Address - Fax:916-989-3775
Practice Address - Street 1:4202 DOUGLAS BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-5911
Practice Address - Country:US
Practice Address - Phone:916-989-2420
Practice Address - Fax:916-989-3775
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice