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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOB KOENITZER DDS, INC.

Active Organization

BOB KOENITZER DDS, INC. is a General Dentistry organization located in PETALUMA, California. NPI 1063690436 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PETALUMA, CA

Registration Details

NPI Number
1063690436
Provider Type
Organization
NPI Issued
Feb 7, 2008 (18.529803952174 yrs)
Last Updated
Feb 7, 2008
License
34624 (CA)

Practice Information

Address
101 LYNCH CREEK WAY
PETALUMA, CA, 949548301
Browse CA providers · Browse ZIP 94954
Phone
7077666666
Fax
7077631614
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.