| Medical Corporation | |
|
8 W El Rose Dr Petaluma CA 94952 | |
| (707) 762-5363 | |
| (707) 762-5116 |
| Full Name | Medical Corporation |
|---|---|
| Speciality | Dentist |
| Location | 8 W El Rose Dr, Petaluma, California |
| Authorized Official Name and Position | Brian K Sibbald (DENTIST) |
| Authorized Official Contact | 7077625363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Corporation 8 W El Rose Dr Petaluma CA 94952 Ph: (707) 762-5363 | Medical Corporation 8 W El Rose Dr Petaluma CA 94952 Ph: (707) 762-5363 |
| NPI Number | 1669480554 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669480554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23669 (California) | Primary |
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