| Petaluma Braces And Family Dentistry | |
|
26 4th St Ste C Petaluma CA 94952-3477 | |
| (707) 787-5600 | |
| (707) 787-5602 |
| Full Name | Petaluma Braces And Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26 4th St Ste C, Petaluma, California |
| Authorized Official Name and Position | Seyed Amir M Hosseini (CEO) |
| Authorized Official Contact | 7077875600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petaluma Braces And Family Dentistry 26 4th St Ste C Petaluma CA 94952-3477 Ph: (707) 787-5600 | Petaluma Braces And Family Dentistry 26 4th St Ste C Petaluma CA 94952-3477 Ph: (707) 787-5600 |
| NPI Number | 1477177616 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477177616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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