| Western Dental Of Az, Inc. | |
|
530 S Main St Orange CA 92868-4525 | |
| (714) 480-3000 | |
| (714) 571-3560 |
| Full Name | Western Dental Of Az, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 530 S Main St, Orange, California |
| Authorized Official Name and Position | Rosa Lesso (NATIONAL DIRECTOR OF RCM) |
| Authorized Official Contact | 7145713471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Of Az, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Of Az, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 |
| NPI Number | 1326112012 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326112012 | NPI | - | NPPES |
| 989254 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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