| Premier Dental Care | |
|
229 N Mcdowell Blvd Petaluma CA 94954-2306 | |
| (707) 766-7373 | |
| (707) 776-7173 |
| Full Name | Premier Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 229 N Mcdowell Blvd, Petaluma, California |
| Authorized Official Name and Position | Klaus Johann Radtke (DENTIST) |
| Authorized Official Contact | 4152256675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Care 229 N Mcdowell Blvd Petaluma CA 94954-2306 Ph: (707) 766-7373 | Premier Dental Care 229 N Mcdowell Blvd Petaluma CA 94954-2306 Ph: (707) 766-7373 |
| NPI Number | 1144360769 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144360769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45761 (California) | Primary |
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