| Petaluma Dental Associates | |
|
1580 E Washington St Suite 107 Petaluma CA 94954-3679 | |
| (707) 778-9000 | |
| (707) 778-2050 |
| Full Name | Petaluma Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1580 E Washington St, Petaluma, California |
| Authorized Official Name and Position | Darpan Kundra (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7077789000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petaluma Dental Associates 1580 E Washington St Suite 107 Petaluma CA 94954-3679 Ph: (707) 778-9000 | Petaluma Dental Associates 1580 E Washington St Suite 107 Petaluma CA 94954-3679 Ph: (707) 778-9000 |
| NPI Number | 1114163227 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114163227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55871 (California) | Primary |
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