| NPI | 1134517139 |
|---|---|
| Other Name | SANTA ROSA ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | EMINE C LOXLEY Owner 707-545-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 57813) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |