| Amanda Delwiche, Dds, Inc | |
|
4773 Hoen Ave Santa Rosa CA 95405-7862 | |
| (707) 526-6165 | |
| Not Available |
| Full Name | Amanda Delwiche, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4773 Hoen Ave, Santa Rosa, California |
| Authorized Official Name and Position | Amanda Delwiche (PRESIDENT) |
| Authorized Official Contact | 4153070493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Delwiche, Dds, Inc 4773 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 526-6165 | Amanda Delwiche, Dds, Inc 4773 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 526-6165 |
| NPI Number | 1528807112 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528807112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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