Western Dental Services, Inc. | |
169 S Rancho Santa Fe Rd San Marcos CA 92078-2501 | |
(760) 916-9595 | |
(760) 916-9604 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist |
Location | 169 S Rancho Santa Fe Rd, San Marcos, California |
Authorized Official Name and Position | Silvia Diaz (PPO COORDINATOR) |
Authorized Official Contact | 7144803000 |
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. 169 S Rancho Santa Fe Rd San Marcos CA 92078-2501 Ph: (760) 916-9595 |
NPI Number | 1114293149 |
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Provider Enumeration Date | 03/23/2012 |
Last Update Date | 03/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114293149 | NPI | - | NPPES |
G92150- | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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