BLAKE WILLIAM SCOTT

CAMP PENDLETON, CA
NPI1972714707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Dr. BLAKE WILLIAM SCOTT D.D.S.
13128 14TH ST FIRST DENTAL BATTALION NDC
CAMP PENDLETON, CA 92055
Phone number: 760-725-5578
Mailing Address
Dr. BLAKE WILLIAM SCOTT D.D.S.
6333 LA JOLLA BLVD UNIT 271
LA JOLLA, CA 92037-6615
Phone number: 415-517-6729