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 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 is 44612 (General Practice) in California. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
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 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 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:
1430 E Washington St, Petaluma, California
Zip:
94954-3631
Phone Number:
707-762-0067
Fax Number:
707-762-4782
Patients can reach at 1430 E Washington St, Petaluma, California or can call to book an appointment on 707-762-0067. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.