Western Dental Services, Inc.
NPI #1740326560 in Santa Rosa, California
Provider Information
- NPI Number
- 1740326560
- Entity Type
- Organization
- Organization Name
- Western Dental Services, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4100 MONTGOMERY DR
- Address 2
- STE. #B
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-5282
- Phone
- (707) 537-2020
Authorized Official
- Name
- CINDY E AVALOS
- Title
- PPOCOORDINATOR
- Phone
- (714) 480-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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