Organization
J. JAY UEMURA, D.D.S. A DENTAL CORPORATION
Active
Other names
Innovative Periodontics and Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN UEMURA (CFO)
(707) 479-7981
Entity
Organization
Contact information
Practice address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405-7538
(707) 525-0555
(707) 525-0665
Mailing address
1416 TOWNVIEW LN, SANTA ROSA, CA 95405-7538
(707) 525-0555
(707) 525-0665
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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