| NPI | 1164488730 |
|---|---|
| Doing Business As | GENTLE DENTAL PETALUMA |
| Entity Type | Organization |
| Authorized Contact | HENRY JAMES LERIAN Pc Holder/Owner 707-765-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 13847) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-08-22 |