| Gentle Dental Santa Rosa | |
|
1421 Guerneville Rd #102 Santa Rosa CA 95403-7220 | |
| (707) 528-7000 | |
| (707) 528-2214 |
| Full Name | Gentle Dental Santa Rosa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1421 Guerneville Rd, Santa Rosa, California |
| Authorized Official Name and Position | Henry James Lerian (PC HOLDER/OWNER) |
| Authorized Official Contact | 7075287000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Santa Rosa 555 W Benjamin Holt Dr Bldg. B Stockton CA 95207-3839 Ph: (209) 476-4700 | Gentle Dental Santa Rosa 1421 Guerneville Rd #102 Santa Rosa CA 95403-7220 Ph: (707) 528-7000 |
| NPI Number | 1629033857 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629033857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13847 (California) | Primary |
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