| Western Dental Services, Inc | |
|
1310 Churn Creek Rd Suite E3 - E4 Redding CA 96003-4004 | |
| (530) 510-4963 | |
| (530) 510-4884 |
| Full Name | Western Dental Services, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1310 Churn Creek Rd, Redding, California |
| Authorized Official Name and Position | Silvia S Diaz (PPO COORDINATOR) |
| 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 1310 Churn Creek Rd Suite E3 - E4 Redding CA 96003-4004 Ph: (530) 510-4963 |
| NPI Number | 1912298431 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912298431 | NPI | - | NPPES |
| G90179- | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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