Western Dental Services, Inc.

NPI #1750784542 in Long Beach, California

Provider Information

NPI Number: 1750784542
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 7, 2014
Last Updated: Oct 7, 2014

Practice Location

Address: 4516 ATLANTIC AVE
City: Long Beach
State: California
ZIP Code: 90807-1513
Phone: (562) 495-6237

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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