|
| |
|
1421 Guerneville Rd #102 Santa Rosa CA 95403-7220 | |
| (707) 528-7000 | |
| (707) 528-2214 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1421 Guerneville Rd, Santa Rosa, California |
| Authorized Official Name and Position | Henry James Lerian (PC HOLDER/OWNER) |
| Authorized Official Contact | 7075287000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
555 W Benjamin Holt Dr Bldg. B Stockton CA 95207-3839 Ph: (209) 476-4700 | 1421 Guerneville Rd #102 Santa Rosa CA 95403-7220 Ph: (707) 528-7000 |
| NPI Number | 1629033857 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629033857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13847 (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 | |
Stephanie Settimi Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405 Phone: 707-542-7299 |