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Organization
WESTERN DENTAL SERVICES, INC.
Active
Organization
WESTERN DENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA KING (PPO COORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
1282 MARKET ST, SAN FRANCISCO, CA 94102-4801
(415) 552-1200
(415) 552-1296
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
—
G90179-40
—
CA
Enumeration date
12/20/2006
Last updated
08/22/2020
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