| Western Dental Services, Inc. | |
|
172 E Carson St Carson CA 90745-2702 | |
| (310) 618-1522 | |
| (562) 804-0863 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 172 E Carson St, Carson, California |
| Authorized Official Name and Position | Preet Takkar (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 7145713372 |
| 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. 172 E Carson St Carson CA 90745-2702 Ph: (310) 618-1522 |
| NPI Number | 1548701378 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548701378 | NPI | - | NPPES |
| G90179 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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