| Western Dental Services, Inc. | |
|
2626 Mission St San Francisco CA 94110-3102 | |
| (415) 285-7500 | |
| (415) 285-9847 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2626 Mission St, San Francisco, California |
| Authorized Official Name and Position | Maribel Zamora (ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 7145713104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Services, Inc. Po Box 51022 Los Angeles CA 90051-5322 Ph: (714) 480-3000 | Western Dental Services, Inc. 2626 Mission St San Francisco CA 94110-3102 Ph: (415) 285-7500 |
| NPI Number | 1326102823 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326102823 | NPI | - | NPPES |
| G90179-38 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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