Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 41995 | CA |
NPI | 1003987447 |
---|---|
Provider Name | David P Schlang |
First Address | Los Angeles, CA 90025 |
Second Address | Los Angeles, CA 90025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |