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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
1310 CHURN CREEK RD, SUITE E3 - E4, REDDING, CA 96003-4004
(530) 510-4963
(530) 510-4884
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
05/02/2011
Last updated
05/02/2011
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