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Organization

WESTERN DENTAL OF AZ, INC.

Active
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Organization

WESTERN DENTAL OF AZ, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSA LESSO (NATIONAL DIRECTOR OF RCM)
(714) 571-3471
Entity
Organization

Contact information

Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-3560
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-3560

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
989254
AZ
Enumeration date
11/17/2006
Last updated
01/05/2024
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