| West Dental Corporation | |
|
1236 Floyd Ave Ste C Modesto CA 95350-2472 | |
| (209) 524-5515 | |
| Not Available |
| Full Name | West Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1236 Floyd Ave Ste C, Modesto, California |
| Authorized Official Name and Position | Jeremy Thomas West (PRESIDENT) |
| Authorized Official Contact | 2095260462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Dental Corporation 1500 Mchenry Ave Modesto CA 95350-4529 Ph: (209) 526-0462 | West Dental Corporation 1236 Floyd Ave Ste C Modesto CA 95350-2472 Ph: (209) 524-5515 |
| NPI Number | 1124697990 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124697990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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