| NPI | 1336972892 |
|---|---|
| Doing Business As | PETALUMA BRACES & FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DORIS LEON Office Administrator 707-787-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |