Petaluma Family Dental Care in Petaluma - Dentist
Petaluma Family Dental Care - NPI 1295925634
Petaluma Family Dental Care is a Dentist in Petaluma, California. Petaluma Family Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for Petaluma Family Dental Care is 1295925634. The last update date is 2007-08-01.
Petaluma Family Dental Care's current location address is 35 Maria Dr, Petaluma, California. You can contact this provider via phone number 7077633203 and fax number 7077633121. The mailing address for Petaluma Family Dental Care is 35 Maria Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petaluma Family Dental Care |
|---|---|
| Address | 35 Maria Dr, Petaluma, California |
| Phone Number | 7077633203 |
| Fax Number | 7077633121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hakimi Sean |
| Credentials | D.D.S. |
| Telephone Number | 6612553130 |
NPI Number Detail
| NPI Number | 1295925634 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 35 Maria Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949543548 |
| Phone Number | 7077633203 |
| Fax Number | 7077633121 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39643 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Petaluma Family Dental Care by the Centers for Medicare & Medicaid Services?
The Petaluma Family Dental Care has been assigned the NPI (National Provider Identifier) 1295925634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Petaluma Family Dental Care is geographically located?
The Petaluma Family Dental Care is physically situated at the following location: 35 Maria Dr, Petaluma, CA, 949543548.
What is the area of specialization for Petaluma Family Dental Care, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Petaluma Family Dental Care is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Petaluma Family Dental Care receive the assignment of its 1295925634 from the Centers for Medicare & Medicaid Services?
The Petaluma Family Dental Care was issued its 1295925634 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the information related to Petaluma Family Dental Care most recently updated or refreshed?
The details pertaining to the Petaluma Family Dental Care, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-01.