Shawn Widick, D.d.s. Inc. | |
704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 | |
(707) 433-6907 | |
(707) 433-1302 |
Full Name | Shawn Widick, D.d.s. Inc. |
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Speciality | Dentist |
Location | 704 Healdsburg Ave, Healdsburg, California |
Authorized Official Name and Position | Shawn Widick (PRESIDENT) |
Authorized Official Contact | 7074336907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shawn Widick, D.d.s. Inc. 704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 Ph: (707) 433-6907 | Shawn Widick, D.d.s. Inc. 704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 Ph: (707) 433-6907 |
NPI Number | 1457697542 |
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Provider Enumeration Date | 12/18/2012 |
Last Update Date | 12/18/2012 |
Identifier | Type | State | Issuer |
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1457697542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 43098 (California) | Primary |
Munselle Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Grant St, Healdsburg, CA 95448 Phone: 707-433-2425 Fax: 707-433-6824 |