Provider Demographics
NPI:1093999658
Name:RENTSCHLER, LIONEL EUGENE (DDS)
Entity Type:Individual
Prefix:
First Name:LIONEL
Middle Name:EUGENE
Last Name:RENTSCHLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SOUTH MAIN STREET
Mailing Address - Street 2:SUITE 2820
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3420
Mailing Address - Country:US
Mailing Address - Phone:951-735-2608
Mailing Address - Fax:951-735-1606
Practice Address - Street 1:800 SOUTH MAIN STREET
Practice Address - Street 2:SUITE 2820
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3420
Practice Address - Country:US
Practice Address - Phone:951-735-2608
Practice Address - Fax:951-735-1606
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA175381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice