Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 3866 | MD |
NPI | 1003942996 |
---|---|
Provider Name | Earle Milton Schulz |
First Address | Baltimore, MD 21207-6665 |
Second Address | Baltimore, MD 21207-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 09/07/2007 |