| Western Dental Services, Inc. | |
|
14248 Hawthorne Blvd Hawthorne CA 90250-7008 | |
| (310) 978-2973 | |
| (310) 978-0451 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14248 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. 14248 Hawthorne Blvd Hawthorne CA 90250-7008 Ph: (310) 978-2973 | Western Dental Services, Inc. 14248 Hawthorne Blvd Hawthorne CA 90250-7008 Ph: (310) 978-2973 |
| NPI Number | 1326194721 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326194721 | NPI | - | NPPES |
| G92150-02 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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