| Western Dental Services, Inc. | |
|
27291 Newport Rd Ste 110 Menifee CA 92584-2401 | |
| (951) 324-5751 | |
| (951) 331-7032 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 27291 Newport Rd Ste 110, Menifee, California |
| Authorized Official Name and Position | Preet Takkar (CHIEF OPERATIONS 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. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc. 27291 Newport Rd Ste 110 Menifee CA 92584-2401 Ph: (951) 324-5751 |
| NPI Number | 1558028993 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558028993 | NPI | - | NPPES |
| G86209 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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