Organization
ERLACH ANDERSON TEMNITZER DENTAL PARTNERSHIP
Active
Other names
Fountaingrove Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERLACH DDS (PART-OWNER)
(707) 525-1500
Entity
Organization
Contact information
Practice address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Mailing address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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