Provider Demographics
NPI:1063665891
Name:MARSHALL R. LAPIN D.D.S. INC.
Entity Type:Organization
Organization Name:MARSHALL R. LAPIN D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:RODNEY
Authorized Official - Last Name:LAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-345-1424
Mailing Address - Street 1:18399 VENTURA BLVD.
Mailing Address - Street 2:SUITE 243
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-345-1424
Mailing Address - Fax:818-345-1424
Practice Address - Street 1:18399 VENTURA BLVD.
Practice Address - Street 2:SUITE 243
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-345-1424
Practice Address - Fax:818-345-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty