Provider Demographics
NPI:1306926936
Name:NGUYEN, STEVE HOANG (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEVE
Other - Middle Name:HOANG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:24837 JEFFERSON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-7720
Mailing Address - Country:US
Mailing Address - Phone:951-304-7401
Mailing Address - Fax:
Practice Address - Street 1:24837 JEFFERSON AVE STE 206
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-7720
Practice Address - Country:US
Practice Address - Phone:951-304-7401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist