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Organization
SANTA ROSA DENTAL
Active
Organization
SANTA ROSA DENTAL
Active
Other names
Dinu A Gray, DDS/Myrna Menjivar Gray,DDS/Eugene Field,DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA MENJIVAR GRAY DDS (PARTNER)
(415) 299-9566
Entity
Organization
Contact information
Practice address
2360 MENDOCINO AVE, SUITE A 6, SANTA ROSA, CA 95403-3153
(707) 568-1436
(707) 568-1483
Mailing address
188 STANFORD AVE, MILL VALLEY, CA 94941-3546
(415) 389-9566
(415) 389-9563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30068
CA
1223G0001X
General Practice Dentistry
30433
CA
1223G0001X
General Practice Dentistry
30461
CA
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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