Myrna Menjivar Gray
DDS | Dentist
701 Sonoma Mountain Pkwy, Suite E 1, Petaluma
California, 94954-8518
707-782-0789 707-782-9133
Maps & DirectionsMyrna Menjivar Gray is a Petaluma, California based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Myrna Menjivar Gray is
30461 for General Practice Dentistry in California. Her current practice location is
701 Sonoma Mountain Pkwy, Suite E 1, Petaluma. Patients can reach her at
707-782-0789.
Myrna Menjivar Gray is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Myrna Menjivar Gray speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Myrna Menjivar Gray |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 701 Sonoma Mountain Pkwy, Suite E 1, Petaluma,
California, 94954-8518 |
| Phone: | 707-782-0789 |
| Fax: | 707-782-9133 |
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 are as mentioned below.
| NPI Number: | 1194812156 |
| NPI Enumeration Date: | 09 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Myrna Menjivar Gray are as mentioned below.
| License Number | Specialization | State | Status | |
| 30461 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Myrna Menjivar Gray such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30461 | Other | California | DENTIST LICENCE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 188 Stanford Ave,
Mill Valley, California |
| Zip: | 94941-3546 |
| Phone Number: | 415-389-9566 |
| Fax Number: | 415-389-9563 |
Patients can reach Myrna Menjivar Gray at
701 Sonoma Mountain Pkwy, Suite E 1, Petaluma, California or can
call to book an appointment on 707-782-0789.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.