| Zen Dental Care | |
|
1591 Farmers Ln Santa Rosa CA 95405-7525 | |
| (707) 300-6444 | |
| Not Available |
| Full Name | Zen Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1591 Farmers Ln, Santa Rosa, California |
| Authorized Official Name and Position | Philip Lawrence Ching (SPECIALTY/INSURANCE DIRECTOR) |
| Authorized Official Contact | 4086073276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zen Dental Care 1591 Farmers Ln Santa Rosa CA 95405-7525 Ph: (707) 595-3615 | Zen Dental Care 1591 Farmers Ln Santa Rosa CA 95405-7525 Ph: (707) 300-6444 |
| NPI Number | 1326678087 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326678087 | NPI | - | NPPES |
| 1417023979 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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