| NPI | 1508303587 |
|---|---|
| Professional Name | DAVID SCOTT SIMON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN11699) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 11699) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-10-10 |