Organization
WILLIAM DILES, INC.
Active
Other names
Kenwood Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE GENTRY DILES AU.D. (SECRETARY)
(707) 538-1000
Entity
Organization
Contact information
Practice address
55 MISSION CIR. #105, SANTA ROSA, CA 95409
(707) 538-1000
(707) 538-1013
Mailing address
55 MISSION AVE. #105, SANTA ROSA, CA 95409
(707) 538-1000
(707) 538-1013
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAD000150
—
CA
Enumeration date
06/18/2006
Last updated
03/29/2024
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