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1194812156
MYRNA MENJIVAR GRAY
PETALUMA, CA
NPI
1194812156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30461)
Enumeration Date
2006-10-09
Last Update Date
2007-07-08
Business Address
-- MYRNA MENJIVAR GRAY DDS
701 SONOMA MOUNTAIN PKWY SUITE E 1
PETALUMA, CA 94954-8518
Phone number: 707-782-0789
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Mailing Address
-- MYRNA MENJIVAR GRAY DDS
188 STANFORD AVE
MILL VALLEY, CA 94941-3546
Phone number: 415-389-9566
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