Individual
ALLEN J SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
647 CAMINO DE LOS MARES, #204, SAN CLEMENTE, CA 92673-2825
(949) 493-8857
Mailing address
647 CAMINO DE LOS MARES, #204, SAN CLEMENTE, CA 92673
(949) 493-8857
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
31976
CA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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