| Frank J Cercone, Dmd, Apc | |
|
1880 Sonoma Ave Santa Rosa CA 95405-4953 | |
| (707) 542-1644 | |
| (707) 546-0166 |
| Full Name | Frank J Cercone, Dmd, Apc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1880 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | Kathryn L Lougee (FINANCE/INSURANCE) |
| Authorized Official Contact | 7075221059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank J Cercone, Dmd, Apc 1880 Sonoma Ave Santa Rosa CA 95405-4953 Ph: (707) 542-1644 | Frank J Cercone, Dmd, Apc 1880 Sonoma Ave Santa Rosa CA 95405-4953 Ph: (707) 542-1644 |
| NPI Number | 1619229200 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619229200 | NPI | - | NPPES |
| G93119 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 23921 (California) | Primary |
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