Organization
AMIR HOSSEINI DENTAL CORPORATION
Active
Other names
Petaluma Braces & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS LEON (OFFICE ADMINISTRATOR)
(707) 787-5600
Entity
Organization
Contact information
Practice address
26 4TH ST STE C, PETALUMA, CA 94952-3477
(707) 787-5600
(702) 787-5602
Mailing address
26 4TH ST STE C, PETALUMA, CA 94952-3477
(707) 787-5600
(702) 787-5602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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