Search › California › 374U00000X
Scott Secondo
NPI 1235728668 · on the registry since 2021
Practice
- Address
- 1166 Broadway Ste T
Placerville, CA 95667 - Phone
- (530) 621-2273
- Fax
- (916) 436-4770
- Organisation at this address
- Mission Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California