| Western Dental Services, Inc | |
|
19071 Bear Valley Rd. Suite #1 Apple Valley CA 92308-6709 | |
| (760) 240-7273 | |
| (760) 240-9757 |
| Full Name | Western Dental Services, Inc |
|---|---|
| Speciality | Dentist |
| Location | 19071 Bear Valley Rd., Apple Valley, California |
| Authorized Official Name and Position | Cindy E. Avalos (PPO COORDINATOR) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Services, Inc 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc 19071 Bear Valley Rd. Suite #1 Apple Valley CA 92308-6709 Ph: (760) 240-7273 |
| NPI Number | 1205004124 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205004124 | NPI | - | NPPES |
| G92150- | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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