Von Westernhagen Dental Corporation
Dentist in Santa Ana, CA. Organization (NPI-2).
NPI number1962219600
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1962219600
- Entity type
- Organization (NPI-2)
- Legal business name
- Von Westernhagen Dental Corporation
- Organization subpart
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Canam Dental (Doing Business As)
Practice location
1414 W Edinger AveSanta Ana, CA 92704-4307
Phone 312-274-4529
Mailing address
1414 W Edinger AveSanta Ana, CA 92704-4307
Authorized official
Chloe Decoster
Senior Manager
3122744529
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