| Western Dental Services, Inc. | |
|
1616 Franklin St Ste 100 Oakland CA 94612-2830 | |
| (510) 251-1000 | |
| (510) 251-9264 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1616 Franklin St Ste 100, Oakland, 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. 1616 Franklin St Ste 100 Oakland CA 94612-2830 Ph: (510) 251-1000 |
| NPI Number | 1154485654 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154485654 | NPI | - | NPPES |
| G90179-35 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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