Individual
DR. MICHAEL STEVEN LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7608 BRIDGEVIEW DR, SACRAMENTO, CA 95831-4235
(925) 413-3614
Mailing address
3845 BEACON AVE STE C, FREMONT, CA 94538-1463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS105088
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105088
CA
Other
Enumeration date
08/05/2020
Last updated
11/17/2020
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