| Western Dental Services, Inc. | |
|
1524 Richland Ave Ceres CA 95307-4316 | |
| (209) 538-5938 | |
| (209) 538-1009 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1524 Richland Ave, Ceres, California |
| Authorized Official Name and Position | Preet Takkar (CHIEF INFORMATION 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) 571-3104 | Western Dental Services, Inc. 1524 Richland Ave Ceres CA 95307-4316 Ph: (209) 538-5938 |
| NPI Number | 1700392487 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700392487 | NPI | - | NPPES |
| G92150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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