| Michael F Koffler Dmd Inc | |
|
131 Lynch Creek Way Ste A Petaluma CA 94954-2391 | |
| (707) 763-1951 | |
| Not Available |
| Full Name | Michael F Koffler Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Lynch Creek Way Ste A, Petaluma, California |
| Authorized Official Name and Position | Michael Koffler (OWNER) |
| Authorized Official Contact | 7077631951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael F Koffler Dmd Inc 131 Lynch Creek Way Ste A Petaluma CA 94954-2391 Ph: () - | Michael F Koffler Dmd Inc 131 Lynch Creek Way Ste A Petaluma CA 94954-2391 Ph: (707) 763-1951 |
| NPI Number | 1962610550 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962610550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25081 (California) | Primary |
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