person
Dr. Pey-ru Kao IX
General Practice Dentistry in Santa Rosa, California
NPI 1639362502

Pey-ru Kao IX is a General Practice Dentistry based in Santa Rosa, CA and is specialized in General Practice. Pey-ru Kao IX practices in Santa Rosa, CA. The NPI Number for Pey-ru Kao IX is 1639362502 and holds a License No. 55711 (California).

The current practice location address for Pey-ru Kao IX is 1240 Farmers Ln, Santa Rosa, CA and can be reached out via phone at 707-542-5200 and via fax at 707-579-3207. You can also correspond with Pey-ru Kao IX through the mailing address at 2105 KAWANA SPRINGS RD, SANTA ROSA, CA - 95404-6355 (mailing address contact number: 800-417-4444).

Location: 1240 Farmers Ln, Santa Rosa, CA, 95404-6355
person
Provider Profile Details
NPI Number
1639362502
Provider Name
Pey-ru Kao IX
Credential
Provider Entity Type
Individual
Gender
Female
Address
1240 Farmers Ln, Santa Rosa, CA, 95404-6355
Phone Number
707-542-5200
Fax Number
707-579-3207
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D55711 05 CA
institution
Provider Business Practice Location Address Details
Address
1240 Farmers Ln
City
State
Zip
95405-6707
Phone Number
707-542-5200
Fax Number
707-579-3207
person
Provider Business Mailing Address Details
Address
1240 Farmers Ln
City
State
Zip
95405-6707
Phone Number
707-542-5200
Fax Number
707-579-3207
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
55711 (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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