Individual
DR. WYATT D. SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
2710 CAMINO CAPISTRANO, SAN CLEMENTE, CA 92672-4802
(949) 498-2115
(949) 498-2473
Mailing address
2710 CAMINO CAPISTRANO, SAN CLEMENTE, CA 92672-4802
(949) 498-2115
(949) 498-2473
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
47662
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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