Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 23672 | CA |
NPI | 1093859969 |
---|---|
Provider Name | Dr. Martin Richard Steigner |
First Address | Petaluma, CA 94954-6965 |
Second Address | Petaluma, CA 94954-6965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |