Western Dental Services, Inc.

NPI #1750822490 in Costa Mesa, California

Provider Information

NPI Number: 1750822490
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 1801 NEWPORT BLVD
Address 2: SUITE B
City: Costa Mesa
State: California
ZIP Code: 92627-2701
Phone: (949) 548-5588

Authorized Official

Name: DR. JOHN LUTHER
Title: CHIEF DENTAL OFFICER
Phone: (714) 480-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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