Provider Demographics
NPI:1780836932
Name:SCHWARZ, MELVYN S (DDS,, MCSD)
Entity Type:Individual
Prefix:DR
First Name:MELVYN
Middle Name:S
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:DDS,, MCSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 LOMITA BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4990
Mailing Address - Country:US
Mailing Address - Phone:310-325-9969
Mailing Address - Fax:310-534-0027
Practice Address - Street 1:3400 LOMITA BLVD STE 505
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4990
Practice Address - Country:US
Practice Address - Phone:310-325-9969
Practice Address - Fax:310-534-0027
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171711223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics