Western Dental Services, Inc. | |
1895 Main St Watsonville CA 95076-6024 | |
(831) 763-4730 | |
(831) 761-0778 |
Full Name | Western Dental Services, Inc. |
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Speciality | Dentist |
Location | 1895 Main St, Watsonville, California |
Authorized Official Name and Position | Cindy E. Avalos (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. 1895 Main St Watsonville CA 95076-6024 Ph: (831) 763-4730 |
NPI Number | 1548598972 |
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Provider Enumeration Date | 11/23/2009 |
Last Update Date | 11/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548598972 | NPI | - | NPPES |
G92150- | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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