| NPI | 1346480050 |
|---|---|
| Former Legal Business Name | WESTERN DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARGARET MORENO Director 714-571-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58057) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |