| Blue Apple Dental, Llc | |
|
6420 Commerce Blvd Rohnert Park CA 94928-2421 | |
| (707) 795-4523 | |
| Not Available |
| Full Name | Blue Apple Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6420 Commerce Blvd, Rohnert Park, California |
| Authorized Official Name and Position | Anthony Lieu (OWNER) |
| Authorized Official Contact | 7077954523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Apple Dental, Llc 6420 Commerce Blvd Rohnert Park CA 94928-2421 Ph: () - | Blue Apple Dental, Llc 6420 Commerce Blvd Rohnert Park CA 94928-2421 Ph: (707) 795-4523 |
| NPI Number | 1942685896 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942685896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 55913 (California) | Primary |
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