Western Dental Services, Inc. | |
906 S Soto St Los Angeles CA 90023-1323 | |
(323) 263-9063 | |
(323) 264-5655 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist - General Practice |
Location | 906 S Soto St, Los Angeles, California |
Authorized Official Name and Position | Preet Takkar (ENROLLMENT COORDINATOR) |
Authorized Official Contact | 7145713372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Dental Services, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc. 906 S Soto St Los Angeles CA 90023-1323 Ph: (323) 263-9063 |
NPI Number | 1053473389 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 10/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053473389 | NPI | - | NPPES |
G90179-29 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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