Provider Demographics
NPI:1871802652
Name:STEVEN H. FERRIOT, DDS A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:STEVEN H. FERRIOT, DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FERRIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-472-5456
Mailing Address - Street 1:145 WILLOW ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-1349
Mailing Address - Country:US
Mailing Address - Phone:619-472-5456
Mailing Address - Fax:619-472-1580
Practice Address - Street 1:145 WILLOW ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-1349
Practice Address - Country:US
Practice Address - Phone:619-472-5456
Practice Address - Fax:619-472-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA231791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty