Western Dental Services, Inc. | |
710 S Brookhurst St Suite O Anaheim CA 92804-4321 | |
(714) 780-5665 | |
(714) 490-1585 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist |
Location | 710 S Brookhurst St, Anaheim, California |
Authorized Official Name and Position | John Luther (CHIEF DENTAL OFFICER) |
Authorized Official Contact | 7144803000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Dental Services, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc. 710 S Brookhurst St Suite O Anaheim CA 92804-4321 Ph: (714) 780-5665 |
NPI Number | 1073054821 |
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Provider Enumeration Date | 03/13/2017 |
Last Update Date | 03/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073054821 | NPI | - | NPPES |
G90179 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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