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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
SILVIA S DIAZ (PPO COORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
780 1ST ST, GILROY, CA 95020-4972
(408) 337-3620
(408) 337-3670
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
—
G90179-
—
CA
Enumeration date
07/19/2011
Last updated
07/19/2011
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