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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