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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
10804 S WESTERN AVE, LOS ANGELES, CA 90047-4629
(312) 274-4581
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
(312) 274-4581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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