| Munselle Family Dentistry | |
|
125 Grant St Healdsburg CA 95448-3824 | |
| (707) 433-2425 | |
| (707) 433-6824 |
| Full Name | Munselle Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 125 Grant St, Healdsburg, California |
| Authorized Official Name and Position | Amy M Munselle (PRESIDENT) |
| Authorized Official Contact | 7074332425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Munselle Family Dentistry 125 Grant St Healdsburg CA 95448-3824 Ph: (707) 433-2425 | Munselle Family Dentistry 125 Grant St Healdsburg CA 95448-3824 Ph: (707) 433-2425 |
| NPI Number | 1184158214 |
|---|---|
| Provider Enumeration Date | 04/15/2017 |
| Last Update Date | 04/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184158214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57407 (California) | Primary |
Shawn Widick, D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Healdsburg Ave, Suite A, Healdsburg, CA 95448 Phone: 707-433-6907 Fax: 707-433-1302 |