Western Dental Services, INC.
Dentist in San Marcos, CA. Organization (NPI-2).
NPI number1114293149
StatusActive
Last updated in NPPESMar 23, 2012
Details
- NPI
- 1114293149
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Dental Services, INC.
- Organization subpart
- No
- Enumeration date
- Mar 23, 2012
- Last updated
- Mar 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
169 S Rancho Santa Fe RdSan Marcos, CA 92078-2501
Phone 760-916-9595 · Fax 760-916-9604
Mailing address
530 S Main StOrange, CA 92868-4525
Phone 714-480-3000 · Fax 714-571-6445
Authorized official
Silvia Diaz
Ppo Coordinator
7144803000
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