Western Dental Services, Inc. | |
2313 N Corral Hollow Rd Tracy CA 95376-9401 | |
(209) 832-9530 | |
(209) 832-9746 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist - General Practice |
Location | 2313 N Corral Hollow Rd, Tracy, California |
Authorized Official Name and Position | Marina King (PPO COORDINATOR) |
Authorized Official Contact | 7144803000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Dental Services, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc. 2313 N Corral Hollow Rd Tracy CA 95376-9401 Ph: (209) 832-9530 |
NPI Number | 1740476316 |
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Provider Enumeration Date | 09/18/2007 |
Last Update Date | 09/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740476316 | NPI | - | NPPES |
G92150- | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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