| Western Dental Services, Inc. | |
|
4040 Alhambra Ave Martinez CA 94553-3822 | |
| (925) 313-9700 | |
| (925) 957-1580 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4040 Alhambra Ave, Martinez, California |
| Authorized Official Name and Position | Cindy E. Avalos (ASSISTANT MANAGER) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Services, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Services, Inc. 4040 Alhambra Ave Martinez CA 94553-3822 Ph: (925) 313-9700 |
| NPI Number | 1134353634 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134353634 | NPI | - | NPPES |
| G92150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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