Western Dental Services, INC.
Dentist, General Practice in Vacaville, CA. Organization (NPI-2).
NPI number1902942014
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1902942014
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Dental Services, INC.
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
791 E Monte Vista AveVacaville, CA 95688-2920
Phone 707-359-2211 · Fax 707-452-8114
Mailing address
530 S Main StOrange, CA 92868-4525
Phone 714-480-3000 · Fax 714-571-3560
Authorized official
Cindy E Avalos
Ppocoordinator
7144803000
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