Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 39704 | CA |
NPI | 1144412289 |
---|---|
Provider Name | Dr. David L. Scheiner |
First Address | Windsor, CA 95492-7853 |
Second Address | Windsor, CA 95492-7853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 13/08/2007 |