| Western Dental Services, Inc | |
|
730 Woollomes Ave Suite 101-102 Delano CA 93215-9550 | |
| (661) 370-4385 | |
| (661) 370-4394 |
| Full Name | Western Dental Services, Inc |
|---|---|
| Speciality | Dentist |
| Location | 730 Woollomes Ave, Delano, California |
| Authorized Official Name and Position | Maribel Zamora (PPO COORDINATOR) |
| Authorized Official Contact | 7145713104 |
| 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 730 Woollomes Ave Suite 101-102 Delano CA 93215-9550 Ph: (661) 370-4385 |
| NPI Number | 1235563495 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235563495 | NPI | - | NPPES |
| G90179 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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