Western Dental Services, Inc.

NPI #1467016469 in Tracy, California

Provider Information

NPI Number: 1467016469
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2019
Last Updated: Apr 24, 2019

Practice Location

Address: 2990 W GRANT LINE RD
City: Tracy
State: California
ZIP Code: 95304-7901
Phone: (209) 830-7797

Authorized Official

Name: PREET TAKKAR
Title: CHIEF INFORMATION OFFICER
Phone: (714) 571-3372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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