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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
PREET TAKKAR (CHIEF INFORMATION OFFICER)
(714) 571-3372
Entity
Organization
Contact information
Practice address
5680 CALLE REAL, GOLETA, CA 93117-2317
(805) 979-3040
(805) 979-3041
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G92150-56
—
CA
Enumeration date
11/17/2011
Last updated
10/28/2019
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