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Mr. Gregory Blake Apostle
Pediatric Dentist in Santa Rosa, California
NPI 1164526521

Gregory Blake Apostle is a Pediatric Dentist based in Santa Rosa, CA and is specialized in Pediatric Dentistry. Gregory Blake Apostle practices in Santa Rosa, CA. The NPI Number for Gregory Blake Apostle is 1164526521 and holds a License No. 42114 (California).

The current practice location address for Gregory Blake Apostle is 95 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-542-4746 and via fax at 707-544-7041.

Location: 95 Montgomery Dr, Santa Rosa, CA, 95404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164526521
Provider Name
Gregory Blake Apostle
Credential
Provider Entity Type
Individual
Gender
Male
Address
95 Montgomery Dr, Santa Rosa, CA, 95404
Phone Number
707-542-4746
Fax Number
707-544-7041
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42114 01 CA DENTAL LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
95 Montgomery Dr
City
Santa Rosa
State
California
Zip
95404
Phone Number
707-542-4746
Fax Number
707-544-7041
person
Provider Business Mailing Address Details
Address
95 Montgomery Dr
City
Santa Rosa
State
California
Zip
95404
Phone Number
707-542-4746
Fax Number
707-544-7041
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
42114 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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