| Western Dental Services, Inc. | |
|
1305 Huntington Dr Duarte CA 91010-2527 | |
| (626) 303-7200 | |
| (626) 303-0375 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1305 Huntington Dr, Duarte, 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. 1305 Huntington Dr Duarte CA 91010-2527 Ph: (626) 303-7200 |
| NPI Number | 1861544702 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861544702 | NPI | - | NPPES |
| G90179-65 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Duarte Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Buena Vista St, Ste 202, Duarte, CA 91010 Phone: 626-357-2254 Fax: 626-358-0305 | |
Michael Banawis Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1745 Huntington Dr, Duarte, CA 91010 Phone: 626-357-9801 Fax: 626-358-1706 | |
Nathaniel J Khoe Dds. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 Huntington Drive, Duarte, CA 91010 Phone: 626-305-1320 Fax: 626-305-1322 | |
Changsook Kim Dds A Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1755 E Huntington Dr, #101, Duarte, CA 91010 Phone: 626-357-9909 Fax: 626-358-7245 | |
Maribelle Tam Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Huntington Dr, Duarte, CA 91010 Phone: 626-357-7778 Fax: 626-357-8701 | |
Lal L. Thanga Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1755 Huntington Dr. #101, Duarte, CA 91010 Phone: 626-357-9909 Fax: 626-358-7245 |