Organization · Type 2 NPI
A Westfall Dental Corporation
Dental Clinic/Center · South Lake Tahoe, CA
NPI number
1003468976
Active
Practice location
2074 Lake Tahoe Blvd Ste 4
South Lake Tahoe, CA 96150-6408
Mailing address
3358 Sandy Way
South Lake Tahoe, CA 96150-8105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1003468976
A Westfall Dental Corporation's National Provider Identifier is 1003468976, issued on Jul 11, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 11, 2019.