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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
1350 CHURN CREEK RD STE F1, REDDING, CA 96003-4168
(530) 224-9700
(530) 224-9637
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
—
G90179-86
—
CA
Enumeration date
01/19/2007
Last updated
03/28/2019
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