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100 Windsor River Rd Windsor CA 95492-9204 | |
| (707) 838-1400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Windsor River Rd, Windsor, California |
| Authorized Official Name and Position | Scott Collier Bonin (PRESIDENT) |
| Authorized Official Contact | 6197337947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Windsor River Rd Windsor CA 95492-9204 Ph: (707) 838-1400 | 100 Windsor River Rd Windsor CA 95492-9204 Ph: (707) 838-1400 |
| NPI Number | 1346806791 |
|---|---|
| Provider Enumeration Date | 05/11/2019 |
| Last Update Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346806791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mohammed Alroshaidan, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6580 Hembree Ln Ste 255, Windsor, CA 95492 Phone: 707-836-1202 Fax: 707-836-1253 | |
Mark J. Hagele, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 19th Hole Dr, Windsor, CA 95492 Phone: 707-838-6560 | |
Tadesse Tesfamichael, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6580 Hembree Ln Ste 255, Windsor, CA 95492 Phone: 707-836-1202 | |