Provider Demographics
NPI:1770524225
Name:WESTWOOD, DAMON JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:JOHN
Last Name:WESTWOOD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 HORNBLEND ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-4547
Mailing Address - Country:US
Mailing Address - Phone:858-866-0696
Mailing Address - Fax:
Practice Address - Street 1:1915 HORNBLEND ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4547
Practice Address - Country:US
Practice Address - Phone:858-866-0696
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics