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

PETALUMA VALLEY DENTAL

Active Organization

PETALUMA VALLEY DENTAL is a General Dentistry organization located in PETALUMA, California. NPI 1356438311 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PETALUMA, CA

Registration Details

NPI Number
1356438311
Provider Type
Organization
NPI Issued
Oct 9, 2006 (19.861121788854 yrs)
Last Updated
Aug 22, 2020
Licenses
30433 (CA)
30461 (CA)

Practice Information

Address
701 SONOMA MOUNTAIN PKWY
SUITE E 1
PETALUMA, CA, 949548518
Browse CA providers · Browse ZIP 94954
Phone
7077820789
Fax
7077829133
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
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.