Western Dental Services, Inc.

NPI #1801169198 in Antioch, California

Provider Information

NPI Number: 1801169198
Entity Type: Organization
Organization Name: Western Dental Services, Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 16, 2012
Last Updated: Feb 16, 2012

Practice Location

Address: 4518 LONE TREE WAY
City: Antioch
State: California
ZIP Code: 94531-7414
Phone: (925) 529-8300

Authorized Official

Name: SILVIA DIAZ
Title: PPO COORDINATOR
Phone: (714) 480-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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