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1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 | |
| (707) 546-3791 | |
| (707) 546-9732 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1100 Sonoma Ave Ste B, Santa Rosa, California |
| Authorized Official Name and Position | Cherylin H. Wyatt (DENTIST) |
| Authorized Official Contact | 7075463791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 Ph: (707) 546-3791 | 1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 Ph: (707) 546-3791 |
| NPI Number | 1184038929 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184038929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58495 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
Stephanie Settimi Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405 Phone: 707-542-7299 |