MEDICARE: GARY WIRTSCHAFTER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	31016	CA

General Provider Information

NPI Number	:	1003916214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY WIRTSCHAFTER D.D.S.

Provider Business Mailing Address
First Line	:	3855 HUGHES AVE
Second Line	:	SUITE 201
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2729
Country	:	US
Telephone Number	:	310-839-8033
Fax Number	:	310-839-8035

Provider Business Practice Location Address
First Line	:	3855 HUGHES AVE
Second Line	:	SUITE 201
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2729
Country	:	US
Telephone Number	:	310-839-8033
Fax Number	:	310-839-8035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

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