| Mishel Malhotra Dmd Dental Corp | |
|
70 Stony Point Rd Ste E Santa Rosa CA 95401-4460 | |
| (707) 575-9200 | |
| Not Available |
| Full Name | Mishel Malhotra Dmd Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 70 Stony Point Rd Ste E, Santa Rosa, California |
| Authorized Official Name and Position | Mishel Malhotra (OWNER DENTIST) |
| Authorized Official Contact | 7075759200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mishel Malhotra Dmd Dental Corp 70 Stony Point Rd Ste E Santa Rosa CA 95401-4460 Ph: (707) 575-9200 | Mishel Malhotra Dmd Dental Corp 70 Stony Point Rd Ste E Santa Rosa CA 95401-4460 Ph: (707) 575-9200 |
| NPI Number | 1912690140 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912690140 | NPI | - | NPPES |
| 104438 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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