Organization · Type 2 NPI
A Westfall Dental Corporation
Dental Clinic/Center · South Lake Tahoe, CA
NPI number
1790280980
Active
Practice location
3358 Sandy Way
South Lake Tahoe, CA 96150-8105
Mailing address
PO Box 551167
South Lake Tahoe, CA 96155-1167
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 1790280980
A Westfall Dental Corporation's National Provider Identifier is 1790280980, issued on Mar 28, 2018. 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 Mar 28, 2018.