Western Dental Services, Inc.

LBN: Western Dental Services, Inc.
Western Dental Services, Inc. is an health care organization with primary practice located at 2900 Standiford Ave Ste 2 , Modesto CA 95350-6575. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Western Dental Services, Inc. can be contacted via phone (510) 577-5009, or through Zamora, Maribel via phone (714) 571-3104.

Contact Information

Primary practice address
2900 Standiford Ave Ste 2 Modesto CA 95350-6575
Phone: (510) 577-5009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zamora, Maribel
Phone: (714) 571-3104

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1205320223
LBN Legal business name Western Dental Services, Inc.
DBA Doing business as
Authorized official Zamora, Maribel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2018
Last updated Jun 22nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205320223 NPPES
California MEDICAID G90179

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