| NPI | 1023439759 |
|---|---|
| Doing Business As | SANTA ROSA COMMUNITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GABRIELA BERNAL-LEROI Chief Executive Officer 707-303-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2022-12-09 |