Organization
PREMIER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KLAUS JOHANN RADTKE D.D.S. (DENTIST)
(415) 225-6675
Entity
Organization
Contact information
Practice address
229 N MCDOWELL BLVD, PETALUMA, CA 94954-2306
(707) 766-7373
(707) 776-7173
Mailing address
229 N MCDOWELL BLVD, PETALUMA, CA 94954-2306
(707) 766-7373
(707) 776-7173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45761
CA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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