Mangrum Dental Corporation is a Dental Clinic in Petaluma, California. It is located at 1430 E Washington St, Petaluma, CA and its contact number is 707-762-0067. The authorized person for Mangrum Dental Corporation is Mr. Debra A Quackenbush
who is Office Manager of the clinic and their contact number is 707-762-0067. The primary license number for Mangrum Dental Corporation is 44612 (General Practice) in California.
Mangrum Dental Corporation Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mangrum Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mangrum Dental Corporation |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1430 E Washington St, Petaluma,
California, 94954-3631 |
| Phone: | 707-762-0067 |
| Fax: | 707-762-4782 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Debra A Quackenbush |
| Position: | Office Manager |
| Contact Number: | 707-762-0067 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mangrum Dental Corporation clinic are as mentioned below.
| NPI Number: | 1275776684 |
| NPI Enumeration Date: | 15 Apr, 2009 |
| NPI Last Update On: | 15 Apr, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mangrum Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 44612 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mangrum Dental Corporation
1430 E Washington St,
Petaluma, California |
| Zip: | 94954-3631 |
| Phone Number: | 707-762-0067 |
| Fax Number: | 707-762-4782 |
Patients can reach Mangrum Dental Corporation at
1430 E Washington St, Petaluma, California or can
call to book an appointment on 707-762-0067.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.