Organization
SANTA ROSA COMMUNITY HEALT CENTERS
Active
Other names
Santa Rosa Community Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA BERNAL-LEROI CEO (CHIEF EXECUTIVE OFFICER)
(707) 303-3600
Entity
Organization
Contact information
Practice address
1110 N DUTTON AVE, SANTA ROSA, CA 95401-4606
(707) 303-3600
(707) 396-5155
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 396-5155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/24/2013
Last updated
12/09/2022
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