Provider Demographics
NPI:1306275482
Name:GALVAN, STEVE HALILI (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:HALILI
Last Name:GALVAN
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 1:1500 OLIVER RD
Mailing Address - Street 2:STE. F
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-3450
Mailing Address - Country:US
Mailing Address - Phone:707-434-8777
Mailing Address - Fax:707-434-9124
Practice Address - Street 1:1500 OLIVER RD
Practice Address - Street 2:STE. F
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-3450
Practice Address - Country:US
Practice Address - Phone:707-434-8777
Practice Address - Fax:707-434-9124
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41253122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist