| Western Dental Services, Inc. | |
|
1696 W Katella Ave Anaheim CA 92802-3015 | |
| (714) 635-6000 | |
| (714) 635-4319 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1696 W Katella Ave, Anaheim, 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. 1696 W Katella Ave Anaheim CA 92802-3015 Ph: (714) 635-6000 |
| NPI Number | 1114089638 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114089638 | NPI | - | NPPES |
| G90179-05 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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