| Valladares Colasse Dental Partnership | |
|
1791 Marlow Rd Suite 1-d Santa Rosa CA 95401-4151 | |
| (702) 300-0813 | |
| Not Available |
| Full Name | Valladares Colasse Dental Partnership |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1791 Marlow Rd, Santa Rosa, California |
| Authorized Official Name and Position | Philippe Andre Colasse (OFFICE MANAGER) |
| Authorized Official Contact | 7023000813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valladares Colasse Dental Partnership 1791 Marlow Rd Suite 1-d Santa Rosa CA 95401-4151 Ph: (702) 300-0813 | Valladares Colasse Dental Partnership 1791 Marlow Rd Suite 1-d Santa Rosa CA 95401-4151 Ph: (702) 300-0813 |
| NPI Number | 1790153328 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790153328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61011 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 61066 (California) | Primary |
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