Western Dental Services, Inc.

NPI #1003306176 in San Jose, California

Provider Information

NPI Number: 1003306176
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 451 BLOSSOM HILL RD SUITE 20
City: San Jose
State: California
ZIP Code: 95123
Phone: (408) 337-3622

Authorized Official

Name: MARIBEL ZAMORA
Title: ENROLLMENT COORDINATOR
Phone: (714) 571-3104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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