Organization
SCOT K WATASE DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT K WATASE D.M.D (DENTIST)
(323) 724-1330
Entity
Organization
Contact information
Practice address
505 W BEVERLY BLVD, MONTEBELLO, CA 90640-3621
(323) 724-1330
(323) 724-4356
Mailing address
505 W BEVERLY BLVD, MONTEBELLO, CA 90640-3621
(323) 724-1330
(323) 724-4356
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42896
CA
Other
Enumeration date
11/11/2007
Last updated
11/12/2013
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