Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | BNDD#AS2078144 | CA |
NPI | 1063723526 |
---|---|
Provider Name | Dr. Howard Winfield Scholz JR. |
First Address | Sn Luis Obispo, CA 93401 |
Second Address | Sn Luis Obispo, CA 93401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 29/06/2010 |