| Dr.robert E. Jarvis Ii, A California Professional Dental Corporation | |
|
2211 4th St Santa Rosa CA 95404-3210 | |
| (707) 575-1198 | |
| (707) 575-0818 |
| Full Name | Dr.robert E. Jarvis Ii, A California Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2211 4th St, Santa Rosa, California |
| Authorized Official Name and Position | Robert E Jarvis (OWNER/DOCTOR) |
| Authorized Official Contact | 7075751198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.robert E. Jarvis Ii, A California Professional Dental Corporation 2211 4th St Santa Rosa CA 95404-3210 Ph: (707) 575-1198 | Dr.robert E. Jarvis Ii, A California Professional Dental Corporation 2211 4th St Santa Rosa CA 95404-3210 Ph: (707) 575-1198 |
| NPI Number | 1922380781 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922380781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | CA29956 (California) | Primary |
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