Provider Demographics
NPI:1336322932
Name:SCHOENBAUM, THOMAS CORNELIUS (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CORNELIUS
Last Name:SCHOENBAUM
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 1:23838 VALENCIA BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5319
Mailing Address - Country:US
Mailing Address - Phone:661-255-3924
Mailing Address - Fax:661-255-6591
Practice Address - Street 1:23838 VALENCIA BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5319
Practice Address - Country:US
Practice Address - Phone:661-255-3924
Practice Address - Fax:661-255-6591
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice