Western Dental Services, Inc.

NPI #1114430824 in Canoga Park, California

Provider Information

NPI Number: 1114430824
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2017
Last Updated: Nov 16, 2017

Practice Location

Address: 21729 VANOWEN ST
City: Canoga Park
State: California
ZIP Code: 91303-2618
Phone: (818) 898-0858

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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