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Individual

DR. SCOTT WAMPOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
5920 100TH ST. S.W., STE. 27, LAKEWOOD, WA 98499-2751
(253) 589-1101
Mailing address
5920 100TH ST. S.W., STE. 27, LAKEWOOD, WA 98499-2751
(253) 589-1101

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
34253
CA
1223P0300X
Periodontics
Primary
DE6814
WA

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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