Santa Rosa Dental
NPI #1043309727 in Santa Rosa, California
Provider Information
- NPI Number
- 1043309727
- Entity Type
- Organization
- Organization Name
- Santa Rosa Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2360 MENDOCINO AVE
- Address 2
- SUITE A 6
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-3153
- Phone
- (707) 568-1436
Authorized Official
- Name
- MYRNA MENJIVAR GRAY, DDS
- Title
- PARTNER
- Phone
- (415) 299-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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