Iceland, Steven D
Iceland, Steven D is an individual health care provider with primary practice located at 5353 Reyes Adobe Road Suite A, Agoura Hills CA 91301-2083. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Iceland, Steven D can be contacted via phone (818) 991-5004.Contact Information
Primary practice address
5353 Reyes Adobe Road Suite A
Agoura Hills CA 91301-2083
Phone: (818) 991-5004
Fax: (818) 991-3996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 24670 | California |
Profile Details
| NPI number | 1477747111 |
|---|---|
| LBN Legal business name | Iceland, Steven D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Sep 5th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477747111 | NPPES |
| California | MEDICAID | D24670 |
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