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NPI Code Detail

MEDICARE: STEVEN TRUMAN D.D.S.

MEDICARE:   STEVEN  TRUMAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDDS101105CA

General Provider Information

NPI Number : 1134664824
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN TRUMAN D.D.S.
Provider Business Mailing Address
First Line : 1718 LEXINGTON AVE
Second Line : APT A
City : EL CERRITO
State : CA
Zip : 94530-1972
Country : US
Telephone Number : 435-313-3881
Fax Number :
Provider Business Practice Location Address
First Line : 1718 LEXINGTON AVE
Second Line : APT A
City : EL CERRITO
State : CA
Zip : 94530-1972
Country : US
Telephone Number : 435-313-3881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2017
Last Update Date : 01/04/2017

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Directions to “ STEVEN TRUMAN D.D.S.” Practice Location

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