| Company Name: | WESTERN DENTAL SERVICES, INC. |
| Employer identification number (EIN): | 330065863 |
| National Association of Insurance Commissioner's ID: | 00000 |
| NAIC Classification: | 00000 |
| WESTERN DENTAL SERVICES, INC. | WESTERN DENTAL SERVICES, INC. WELFARE BENEFITS PLAN | 2015-01-01 |