| NPI | 1275776684 |
|---|---|
| Doing Business As | PETALUMA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBRA A QUACKENBUSH Office Manager 707-762-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44612) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |