# DR.ROBERT E.JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902180334
- **Authorized official:** DR. ROBERT ELTON JARVIS II DDS (OWNER/DOCTOR)
- **Authorized official phone:** (707) 838-8836

## Contact information

- **Practice address:** 8741 BROOKS RD S, SUITE \#101, WINDSOR, CA 95492-7853
- **Practice address phone:** (707) 838-8836
- **Practice address fax:** (707) 838-1858
- **Mailing address:** 8741 BROOKS RD S, SUITE \#101, WINDSOR, CA 95492-7853
- **Mailing address phone:** (707) 838-8836
- **Mailing address fax:** (707) 838-1858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | CA29956 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2011
- **Last updated:** 10/04/2011