| Western Dental Services, Inc. | |
|
41115 Winchester Rd Ste 102 Temecula CA 92591-6001 | |
| (951) 331-7020 | |
| (951) 331-7029 |
| Full Name | Western Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 41115 Winchester Rd Ste 102, Temecula, California |
| Authorized Official Name and Position | Preet Takkar (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 7145713372 |
| 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. 41115 Winchester Rd Ste 102 Temecula CA 92591-6001 Ph: (951) 331-7020 |
| NPI Number | 1225397524 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225397524 | NPI | - | NPPES |
| G92150-60 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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