| Shawn Widick, D.d.s. Inc. | |
|
704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 | |
| (707) 433-6907 | |
| (707) 433-1302 |
| Full Name | Shawn Widick, D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 704 Healdsburg Ave, Healdsburg, California |
| Authorized Official Name and Position | Shawn Widick (PRESIDENT) |
| Authorized Official Contact | 7074336907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Widick, D.d.s. Inc. 704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 Ph: (707) 433-6907 | Shawn Widick, D.d.s. Inc. 704 Healdsburg Ave Suite A Healdsburg CA 95448-3651 Ph: (707) 433-6907 |
| NPI Number | 1457697542 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457697542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43098 (California) | Primary |
Amy M. Munselle, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Grant St, Healdsburg, CA 95448 Phone: 707-433-2425 Fax: 707-433-6824 |