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Organization

WESTERN DENTAL SERVICES, INC.

Active
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Organization

WESTERN DENTAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY E AVALOS (PPOCOORDINATOR)
(714) 480-3000
Entity
Organization

Contact information

Practice address
81735 US HIGHWAY 111, INDIO, CA 92201-5414
(760) 391-4466
(760) 342-1823
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-3560

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92150-25
—
CA
Enumeration date
01/30/2007
Last updated
08/22/2020
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