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Organization
VON WESTERNHAGEN DENTAL CORPORATION
Active
Organization
VON WESTERNHAGEN DENTAL CORPORATION
Active
Other names
CanAm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA SOTO (LEAD PROVIDER RELATIONS SPECIALIST)
(312) 274-4581
Entity
Organization
Contact information
Practice address
520 E MANCHESTER AVE, LOS ANGELES, CA 90003-3525
(323) 521-5444
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
(312) 274-4526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
01/28/2022
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