| NPI | 1063118552 |
|---|---|
| Former Legal Business Name | RAMOS PEDIATRIC DENTAL GROUP OF SANTA ROSA, PC |
| Doing Business As | NORCAL PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHERYL WILLETT CFO 707-544-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |