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Organization
ERLACH ANDERSON TEMNITZER DENTAL PARTNERSHIP
Active
Organization
ERLACH ANDERSON TEMNITZER DENTAL PARTNERSHIP
Active
Other names
Fountaingrove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERLACH DDS (PART-OWNER)
(707) 525-1500
Entity
Organization
Contact information
Practice address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Mailing address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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