| Western Dental Services, Inc. | |
|
7541 Sepulveda Blvd Van Nuys CA 91405-1645 | |
| (818) 908-2600 | |
| (818) 908-0647 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7541 Sepulveda Blvd, Van Nuys, California |
| Authorized Official Name and Position | Cindy E Avalos (PPOCOORDINATOR) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Services, Inc. 7541 Sepulveda Blvd Van Nuys CA 91405-1645 Ph: (818) 908-2600 | Western Dental Services, Inc. 7541 Sepulveda Blvd Van Nuys CA 91405-1645 Ph: (818) 908-2600 |
| NPI Number | 1740336650 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740336650 | NPI | - | NPPES |
| G90179-75 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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