Western Dental Services, Inc. | |
30e San Pablo Towne Center San Pablo CA 94806-3926 | |
(510) 887-5707 | |
(510) 789-0902 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist |
Location | 30e San Pablo Towne Center, San Pablo, California |
Authorized Official Name and Position | Preet Takkar (CHIEF INFORMATION 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. 30e San Pablo Towne Center San Pablo CA 94806-3926 Ph: (510) 887-5707 |
NPI Number | 1457925422 |
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Provider Enumeration Date | 05/14/2021 |
Last Update Date | 05/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457925422 | NPI | - | NPPES |
G86209 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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