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Myrna Menjivar Gray, DDS
General Practice Dentistry in Petaluma, California
NPI 1194812156

Myrna Menjivar Gray is a General Practice Dentistry based in Mill Valley, CA and is specialized in General Practice. Myrna Menjivar Gray practices in Petaluma, CA and has the professional credentials of DDS. The NPI Number for Myrna Menjivar Gray is 1194812156 and holds a License No. 30461 (California).

The current practice location address for Myrna Menjivar Gray is 701 Sonoma Mountain Pkwy, Petaluma, CA and can be reached out via phone at 707-782-0789 and via fax at 707-782-9133.

Location: 701 Sonoma Mountain Pkwy, Petaluma, CA, 94941-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194812156
Provider Name
Myrna Menjivar Gray
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
701 Sonoma Mountain Pkwy, Petaluma, CA, 94941-3546
Phone Number
707-782-0789
Fax Number
707-782-9133
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30461 01 CA DENTIST LICENCE
institution
Provider Business Practice Location Address Details
Address
701 Sonoma Mountain Pkwy
City
Petaluma
State
California
Zip
94954-8518
Phone Number
707-782-0789
Fax Number
707-782-9133
person
Provider Business Mailing Address Details
Address
701 Sonoma Mountain Pkwy
City
Petaluma
State
California
Zip
94954-8518
Phone Number
707-782-0789
Fax Number
707-782-9133
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30461 (California)
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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