Organization
SIGNATURE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYATT DONALD SIMONS D.D.S. (DENTIST)
(949) 498-2115
Entity
Organization
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
—
—
Other
Enumeration date
03/19/2007
Last updated
06/25/2008
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