| Gentle Dental Petaluma | |
|
229 N Mcdowell Blvd Petaluma CA 94954-2306 | |
| (707) 765-9262 | |
| (707) 765-9261 |
| Full Name | Gentle Dental Petaluma |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 229 N Mcdowell Blvd, Petaluma, California |
| Authorized Official Name and Position | Henry James Lerian (PC HOLDER/OWNER) |
| Authorized Official Contact | 7077659262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Petaluma 555 W Benjamin Holt Dr Bldg. B Stockton CA 95207-3839 Ph: (209) 476-4700 | Gentle Dental Petaluma 229 N Mcdowell Blvd Petaluma CA 94954-2306 Ph: (707) 765-9262 |
| NPI Number | 1164488730 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164488730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13847 (California) | Primary |
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