Individual
MRS. ROBERTA ANN BOSTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
17331 VAILETTI DR, SONOMA, CA 95476-3344
(707) 695-2495
Mailing address
17331 VAILETTI DR, SONOMA, CA 95476-3344
(707) 695-2495
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
387
CA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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