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General NPI Number Information
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NPI Number | 1538242912
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Entity Type | Organization
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Legal Business Name | SCOTT E. WEST DDS, INC.
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Dates
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Enumeration Date | 10/22/2006
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 22672 LAMBERT ST #603
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City | LAKE FOREST
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State | CA
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Zip | 92630-1613
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Country | US
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Telephone | 949-829-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 22672 LAMBERT ST #603
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City | LAKE FOREST
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State | CA
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Zip | 92630-1613
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Country | US
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Telephone | 949-829-6700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT E WEST
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Credential | D.D.S.
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Telephone | 949-829-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21344
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License Number State | CA
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