| Ellefson & Marelich Dental Corporation | |
|
1100 Sonoma Ave Suite A Santa Rosa CA 95405 | |
| (707) 527-0363 | |
| (707) 527-6735 |
| Full Name | Ellefson & Marelich Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1100 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | Laura David Ellefson (DENTIST) |
| Authorized Official Contact | 7075270363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellefson & Marelich Dental Corporation 1100 Sonoma Ave Suite A Santa Rosa CA 95405 Ph: (707) 527-0363 | Ellefson & Marelich Dental Corporation 1100 Sonoma Ave Suite A Santa Rosa CA 95405 Ph: (707) 527-0363 |
| NPI Number | 1942728241 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 09/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942728241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DDS100710 (California) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
Stephanie Settimi Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405 Phone: 707-542-7299 |