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Organization
DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION
Active
Organization
DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E JARVIS II DDS (OWNER/DOCTOR)
(707) 575-1198
Entity
Organization
Contact information
Practice address
2211 4TH ST, SANTA ROSA, CA 95404-3210
(707) 575-1198
(707) 575-0818
Mailing address
2211 4TH ST, SANTA ROSA, CA 95404-3210
(707) 575-1198
(707) 575-0818
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
CA29956
CA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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