Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WESTERN DENTAL SERVICES, INC.
Active
Organization
WESTERN DENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY E AVALOS (PPOCOORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
3511 MADISON ST STE F, RIVERSIDE, CA 92504-3739
(951) 688-6793
(951) 689-8969
Mailing address
3511 MADISON ST STE F, RIVERSIDE, CA 92504-3739
(951) 688-6793
(951) 689-8969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G90179-56
—
CA
Enumeration date
01/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up