| Adrian D. Fenderson, Dds, Inc. | |
|
3416 Valle Verde Dr Napa CA 94558-2415 | |
| (707) 258-8700 | |
| (707) 255-4542 |
| Full Name | Adrian D. Fenderson, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3416 Valle Verde Dr, Napa, California |
| Authorized Official Name and Position | Adrian Darvin Fenderson (PRESIDENT) |
| Authorized Official Contact | 7072588700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian D. Fenderson, Dds, Inc. 3416 Valle Verde Dr Napa CA 94558-2415 Ph: (707) 258-8700 | Adrian D. Fenderson, Dds, Inc. 3416 Valle Verde Dr Napa CA 94558-2415 Ph: (707) 258-8700 |
| NPI Number | 1710189469 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710189469 | NPI | - | NPPES |
| 1306854377 | Other | CA | NPI |
| 20852 | Other | CA | CDA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20852 (California) | Primary |
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