Provider Demographics
NPI:1588059489
Name:DEAN SCHWEITZER DDS A PROF CORP
Entity type:Organization
Organization Name:DEAN SCHWEITZER DDS A PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-312-4196
Mailing Address - Street 1:27005 WOODLANDS DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4946
Mailing Address - Country:US
Mailing Address - Phone:661-312-4196
Mailing Address - Fax:
Practice Address - Street 1:23838 VALENCIA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5335
Practice Address - Country:US
Practice Address - Phone:661-287-9650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63488122300000X
CA28618122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty