Individual
CANDICE CARLY SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MBA
Contact information
Practice address
42900 BOB HOPE DR STE 111, RANCHO MIRAGE, CA 92270-4442
(760) 565-6055
Mailing address
78532 POMPEII CT, LA QUINTA, CA 92253-7922
(720) 546-3481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SP287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T5739868
CA DRIVERS LICENSE
CA
Enumeration date
10/22/2018
Last updated
10/22/2018
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