SANTA ROSA DENTAL NPI 1043309727

NPI Information

SANTA ROSA DENTAL is a general practice dentist in Santa Rosa, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SANTA ROSA DENTAL NPI is 1043309727. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dinu A Gray, Dds/myrna Menjivar Gray,dds/eugene Field,dds.

The provider's business location address is:

2360 MENDOCINO AVE
SUITE A 6
SANTA ROSA, CA
ZIP 95403-153
Phone: (707) 568-1436
Fax: (707) 568-1483

The provider's authorized official is Myrna Menjivar Gray .
The authorized official title is Partner and has the following contact phone number (415) 299-9566.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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