Western Dental Services, Inc. | |
133 Plaza Dr Ste R Vallejo CA 94591-3703 | |
(707) 557-6245 | |
(707) 557-0986 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist |
Location | 133 Plaza Dr Ste R, Vallejo, 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. 133 Plaza Dr Ste R Vallejo CA 94591-3703 Ph: (707) 557-6245 |
NPI Number | 1639733637 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 04/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639733637 | NPI | - | NPPES |
G90179 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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