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Organization
WILLIAM DILES, INC.
Active
Organization
WILLIAM DILES, INC.
Active
Other names
Kenwood Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE GENTRY DILES AU.D. (SECRETARY)
(707) 538-1000
Entity
Organization
Contact information
Practice address
55 MISSION CIR. #105, SANTA ROSA, CA 95409
(707) 538-1000
(707) 538-1013
Mailing address
55 MISSION AVE. #105, SANTA ROSA, CA 95409
(707) 538-1000
(707) 538-1013
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAD000150
—
CA
Enumeration date
06/18/2006
Last updated
03/29/2024
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