Wyatt D. Simons DDS, PC

NPI 1053467175 - Dentist - 1223E0200X

NPI Details
NPI 1053467175
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2710 CAMINO CAPISTRANO
SAN CLEMENTE CA, 92672-4802, US
Phone (949) 498-2115
Fax (949) 498-2473
Business Location
2710 CAMINO CAPISTRANO
SAN CLEMENTE CA, 92672-4802, US
Phone (949) 498-2115
Fax (949) 498-2473
Toxanomy
Taxonomy Code 1223E0200X
License State California
License Number 47662
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According to our database, Dr. Wyatt D. Simons DDS, PC NPI is 1053467175, taxonomy code is 1223E0200X and license number is 47662, license state is located at California. Wyatt D. Simons DDS, PC physically located at 2710 Camino Capistrano, San Clemente CA, 92672-4802. NPI Number Wyatt D. Simons DDS, PC has the Individual type.

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1053467175 NPI number is provided on an as is basis without warranty of any kind. 1053467175 is maintained by the National Plan & Provider Enumeration System. The contents of Wyatt D. Simons DDS, PC are for informational purposes only.