| A Westfall Dental Corporation | |
|
2074 Lake Tahoe Blvd Ste 4 South Lake Tahoe CA 96150-6408 | |
| (530) 600-2835 | |
| Not Available |
| Full Name | A Westfall Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2074 Lake Tahoe Blvd Ste 4, South Lake Tahoe, California |
| Authorized Official Name and Position | April Lyn Westfall (CEO) |
| Authorized Official Contact | 5306002835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Westfall Dental Corporation 3358 Sandy Way South Lake Tahoe CA 96150-8105 Ph: (530) 208-8917 | A Westfall Dental Corporation 2074 Lake Tahoe Blvd Ste 4 South Lake Tahoe CA 96150-6408 Ph: (530) 600-2835 |
| NPI Number | 1003468976 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003468976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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