Organization
A WESTFALL DENTAL CORPORATION
Active
Parent organization
A WESTFALL DENTAL CORPORATION
Other names
Diamond Springs Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
A WESTFALL DENTAL CORPORATION
Authorized official
DR. APRIL LYN WESTFALL DMD (CEO)
(530) 600-2835
Entity
Organization
Contact information
Practice address
540 MAIN ST, DIAMOND SPRINGS, CA 95619-9109
(530) 600-2835
Mailing address
PO BOX 551167, SOUTH LAKE TAHOE, CA 96155-1167
(530) 600-2835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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