| Western Dental Services, Inc. | |
|
1016 Skyway Chico CA 95928-7129 | |
| (530) 781-1270 | |
| (530) 345-9382 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1016 Skyway, Chico, California |
| Authorized Official Name and Position | Marina King (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. 1016 Skyway Chico CA 95928-7129 Ph: (530) 781-1270 |
| NPI Number | 1548301930 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548301930 | NPI | - | NPPES |
| G92150-26 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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