| NPI | 1730214131 |
|---|---|
| Doing Business As | ST. JOSEPH DENTAL |
| Doing Business As | SANTA ROSA MEMORIAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Director Reimbursement Administrati 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 110000501) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-08-15 |