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1420 Guerneville Rd Suite 2 Santa Rosa CA 95403-7233 | |
| (707) 578-3776 | |
| (707) 578-1060 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1420 Guerneville Rd, Santa Rosa, California |
| Authorized Official Name and Position | Robert Alavi (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7075783776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1420 Guerneville Rd Suite 2 Santa Rosa CA 95403-7233 Ph: (707) 578-3776 | 1420 Guerneville Rd Suite 2 Santa Rosa CA 95403-7233 Ph: (707) 578-3776 |
| NPI Number | 1679755771 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679755771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47178 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
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