| Western Dental Services, Inc. | |
|
1100 S Mount Vernon Ave Ste G Colton CA 92324-4204 | |
| (909) 801-8142 | |
| (909) 757-5964 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1100 S Mount Vernon Ave Ste G, Colton, 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) 571-3104 | Western Dental Services, Inc. 1100 S Mount Vernon Ave Ste G Colton CA 92324-4204 Ph: (909) 801-8142 |
| NPI Number | 1447981774 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447981774 | NPI | - | NPPES |
| G86209 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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