Individual
DR. TODD ALAN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027715
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.027715
IL
Other
Enumeration date
08/21/2009
Last updated
09/28/2015
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