Western Dental Services, INC.
Dentist in Pasadena, CA. Organization (NPI-2).
NPI number1689192528
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1689192528
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Dental Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2017
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1127 E Green StPasadena, CA 91106-2505
Phone 626-389-2570
Mailing address
530 S Main StOrange, CA 92868-4525
Phone 714-571-3653 · Fax 714-571-6445
Authorized official
Preet Takkar
Chief Operations Officer
7145713372
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