Organization Name: | STEVEN C. GREENMAN, D.D.S., INC. |
NPI Number: | 1053642181 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN C. GREENMAN (PRESIDENT/OWNER) |
Mailing Address: | 1240 S Westlake Blvd Suite 223 Westlake Village |
State: | CA US |
Postal Code: | 913611929 |
Phone Number: | 8054969555 |
Fax Number: | 8054972541 |
NPI Enumeration Date: | 01/29/2010 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 29903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |