institution
St. Joseph Health Northern California, Llc
Dental Clinic/Center in Santa Rosa, California
NPI 1730214131

St. Joseph Health Northern California, Llc is a Dental Clinic/Center based in Santa Rosa, CA and is specialized in Dental. St. Joseph Health Northern California, Llc practices in Santa Rosa, CA. The NPI Number for St. Joseph Health Northern California, Llc is 1730214131 and holds a License No. 110000501 (California).

The current practice location address for St. Joseph Health Northern California, Llc is 751 Lombardi Ct, Santa Rosa, CA and can be reached out via phone at 707-547-2221 and via fax at 707-547-2230. You can also correspond with St. Joseph Health Northern California, Llc through the mailing address at 751 LOMBARDI CT, SANTA ROSA, CA - 95407-6793 (mailing address contact number: 707-547-2221).

Location: 751 Lombardi Ct, Santa Rosa, CA, 95407-6793
institution
Provider Profile Details
NPI Number
1730214131
Provider Name
St. Joseph Health Northern California, Llc
Credential
Provider Entity Type
Organization
Address
751 Lombardi Ct, Santa Rosa, CA, 95407-6793
Phone Number
707-547-2221
Fax Number
707-547-2230
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9048301 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
751 Lombardi Ct
City
State
Zip
95407
Phone Number
707-547-2221
Fax Number
707-547-2230
person
Provider Business Mailing Address Details
Address
751 Lombardi Ct
City
State
Zip
95407
Phone Number
707-547-2221
Fax Number
707-547-2230
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
110000501 (California)
Definition
Definition to come...
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