Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 26182 | CA |
NPI | 1083770697 |
---|---|
Provider Name | Dr. Stephen J Howard |
First Address | Tarzana, CA 91356-3506 |
Second Address | Tarzana, CA 91356-3506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |