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Organization
WESTFIELD DENTAL LLC
Active
Organization
WESTFIELD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WESTRA DMD (OWNER)
(314) 660-7780
Entity
Organization
Contact information
Practice address
215 E MAIN ST, WESTFIELD, IN 46074-9395
(317) 896-5353
Mailing address
522 E JASPER ST, PARIS, IL 61944-2437
(217) 463-4110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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