Individual
MR. GREGORY BLAKE APOSTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 MONTGOMERY DR, #210, SANTA ROSA, CA 95404
(707) 542-4746
(707) 544-7041
Mailing address
95 MONTGOMERY DR, #210, SANTA ROSA, CA 95404
(707) 542-4746
(707) 544-7041
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42114
DENTAL LIC NUMBER
CA
Enumeration date
09/07/2006
Last updated
07/08/2007
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