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Western Dental Services, Inc.

Organization Active NPI Dentist · Norwalk, CA

NPI 1194243089 · NPPES record last updated Jun 30, 2022

Key facts

NPI
1194243089
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
WESTERN DENTAL SERVICES, INC.
Practice address
10965 Firestone Blvd
Norwalk, CA 90650-2214
Phone
(562) 228-1880
NPI assigned
Aug 31, 2017
Organization subpart
No

Authorized official

Name
Preet Takkar
Title
Chief Operations Officer
Phone
(714) 571-3372

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Western Dental Services Inc (278 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP		 122300000X Yes

Addresses

Primary practice location

10965 Firestone Blvd
Norwalk, CA 90650-2214

Mailing address

530 S Main St
Orange, CA 92868-4525
Phone (714) 571-3653

Other identifiers

IdentifierTypeStateIssuer
G90179MedicaidCA

Other providers in Norwalk, CA

All providers in Norwalk, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.