| Western Dental | |
|
1407 W March Ln Stockton CA 95207-6111 | |
| (209) 473-4000 | |
| Not Available |
| Full Name | Western Dental |
|---|---|
| Speciality | Dentist |
| Location | 1407 W March Ln, Stockton, California |
| Authorized Official Name and Position | Piyush Sisodia (DDS) |
| Authorized Official Contact | 2055856024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental 626 Adora Cir Roseville CA 95678-4404 Ph: (205) 585-6024 | Western Dental 1407 W March Ln Stockton CA 95207-6111 Ph: (209) 473-4000 |
| NPI Number | 1144620923 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144620923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 63988 (California) | Primary |
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