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Organization
SCOTT DAVID SCHAPANSKY D.D.S. INC.
Active
Organization
SCOTT DAVID SCHAPANSKY D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID SCHAPANSKY D.D.S. (OWNER)
(559) 832-8211
Entity
Organization
Contact information
Practice address
4911 N DEL MAR AVE, FRESNO, CA 93704-3327
(559) 301-0372
Mailing address
4911 N DEL MAR AVE, FRESNO, CA 93704-3327
(559) 832-8211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
60685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA60685
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
01/19/2016
Last updated
01/19/2016
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