Organization
SCOTT LUNDY, DDS, INC
Active
Other names
Westlake Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RUSSELL LUNDY DDS (OWNER)
(805) 496-4247
Entity
Organization
Contact information
Practice address
176 AUBURN CT STE 5, WESTLAKE VILLAGE, CA 91362-3682
(805) 496-4247
(805) 496-9830
Mailing address
176 AUBURN CT STE 5, WESTLAKE VILLAGE, CA 91362-3682
(805) 496-4247
(805) 496-9830
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
61720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881944593
—
CA
Enumeration date
12/22/2017
Last updated
06/16/2018
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