Park Plaza Dental
Park Plaza Dental provides Dentist services in Petaluma, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
245 Kentucky St Ste EPetaluma, CA 94952-2877 Not confirmed with CMS for 11 years — call before visiting
Phone: (707) 763-4142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 62200 (CA) |
|---|
Record details
| NPI number | 1720483225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mona Mahmoodi — Dds · (310) 993-5758 |
| NPI enumerated | October 27, 2014 |
| Last updated in NPPES | October 27, 2014 |
| Mailing address | 245 Kentucky St Ste E, Petaluma, CA 94952-2877 |
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