NPI | 1629033857 |
---|---|
Doing Business As | GENTLE DENTAL SANTA ROSA |
Entity Type | Organization |
Authorized Contact | HENRY JAMES LERIAN Pc Holder/Owner 707-528-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 13847) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2020-08-22 |