Western Dental Services, Inc. | |
1208 W Francisquito Ave Ste E West Covina CA 91790-4781 | |
(626) 917-0900 | |
(626) 917-0911 |
Full Name | Western Dental Services, Inc. |
---|---|
Speciality | Dentist |
Location | 1208 W Francisquito Ave Ste E, West Covina, 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. 1208 W Francisquito Ave Ste E West Covina CA 91790-4781 Ph: (626) 917-0900 |
NPI Number | 1801360441 |
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Provider Enumeration Date | 01/16/2019 |
Last Update Date | 03/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801360441 | NPI | - | NPPES |
G90179 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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