Myrna Menjivar Gray in Petaluma - General Practice
Myrna Menjivar Gray - NPI 1194812156
Myrna Menjivar Gray is a General Practice in Petaluma, California. Myrna Menjivar Gray practices all healthcare services and medical treatments related to General Practice. The NPI Number for Myrna Menjivar Gray is 1194812156. The last update date is 2007-07-08.
Myrna Menjivar Gray's current location address is 701 Sonoma Mountain Pkwy, Petaluma, California. You can contact this provider via phone number 7077820789 and fax number 7077829133. The mailing address for Myrna Menjivar Gray is 701 Sonoma Mountain Pkwy, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myrna Menjivar Gray |
|---|---|
| Address | 701 Sonoma Mountain Pkwy, Petaluma, California |
| Phone Number | 7077820789 |
| Fax Number | 7077829133 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194812156 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 701 Sonoma Mountain Pkwy |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949548518 |
| Phone Number | 7077820789 |
| Fax Number | 7077829133 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30461 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30461 | CA | DENTIST LICENCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Myrna Menjivar Gray by the Centers for Medicare & Medicaid Services?
The Myrna Menjivar Gray has been assigned the NPI (National Provider Identifier) 1194812156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Myrna Menjivar Gray is physically located?
The Myrna Menjivar Gray is situated at the following address: 701 Sonoma Mountain Pkwy, Petaluma, CA 949548518.
What is Myrna Menjivar Gray's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Myrna Menjivar Gray's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1194812156 assigned to Myrna Menjivar Gray?
The Myrna Menjivar Gray was issued its 1194812156 on 2006-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Myrna Menjivar Gray most recently updated or refreshed?
The details pertaining to the Myrna Menjivar Gray, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.