| Western Dental Services, Inc. | |
|
14244 Hawthorne Blvd Hawthorne CA 90250-7008 | |
| (310) 219-1234 | |
| (310) 978-0380 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14244 Hawthorne Blvd, Hawthorne, 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. 14244 Hawthorne Blvd Hawthorne CA 90250-7008 Ph: (310) 219-1234 | Western Dental Services, Inc. 14244 Hawthorne Blvd Hawthorne CA 90250-7008 Ph: (310) 219-1234 |
| NPI Number | 1245386234 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245386234 | NPI | - | NPPES |
| G90179-43 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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