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WISDOM4DENTAL NPI 1790153328


NPI Information

NPI: 1790153328
Provider Name: WISDOM4DENTAL

Doing Business As: VALLADARES COLASSE DENTAL PARTNERSHIP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1791 MARLOW RD
SUITE 1-D
SANTA ROSA, CA
ZIP 95401
Phone: (702) 300-0813
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WISDOM4DENTAL 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. WISDOM4DENTAL NPI is 1790153328. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Valladares Colasse Dental Partnership.

The provider's business location address is:

1791 MARLOW RD
SUITE 1-D
SANTA ROSA, CA
ZIP 95401-151
Phone: (702) 300-0813

The provider's authorized official is Philippe Andre Colasse .
The authorized official title is Office Manager and has the following contact phone number (702) 300-0813.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice61011CALIFORNIANo
21223G0001XDentistGeneral Practice61066CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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