Myrna 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.