Von Westernhagen Dental Corporation
NPI #1518610617 in Highland, California
Provider Information
- NPI Number
- 1518610617
- Entity Type
- Organization
- Organization Name
- Von Westernhagen Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Nov 1, 2022
Practice Location
- Address
- 4160 E HIGHLAND AVE STE J
- City
- Highland
- State
- California
- ZIP Code
- 92346-2750
- Phone
- (312) 274-4546
Authorized Official
- Name
- PETER STATHAKIS
- Title
- CREDENTIALING
- Phone
- (312) 274-4546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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