Individual
DR. EDWIN LEONARD DEGOLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
80 DOCTORS PARK DR, SANTA ROSA, CA 95405-6615
(707) 542-5125
(707) 542-5750
Mailing address
80 DOCTORS PARK DR, SANTA ROSA, CA 95405-6615
(707) 542-5125
(707) 542-5750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31242
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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