| Oloph K. Granath, Dds, Inc. | |
|
2345 4th St Santa Rosa CA 95404-3259 | |
| (707) 528-9411 | |
| (707) 528-7101 |
| Full Name | Oloph K. Granath, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2345 4th St, Santa Rosa, California |
| Authorized Official Name and Position | Tara Kelly-granath (SECRETARY) |
| Authorized Official Contact | 7075289411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oloph K. Granath, Dds, Inc. 2345 4th St Santa Rosa CA 95404-3259 Ph: (707) 528-9411 | Oloph K. Granath, Dds, Inc. 2345 4th St Santa Rosa CA 95404-3259 Ph: (707) 528-9411 |
| NPI Number | 1790063089 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790063089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32309 (California) | Primary |
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