Organization
GREG MLYNARCZYK DDS., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG PETER MLYNARCZYK DDS (PRESIDENT)
(707) 527-0363
Entity
Organization
Contact information
Practice address
1100 SONOMA AVE, SUITE A2, SANTA ROSA, CA 95405-8901
(707) 527-0363
(707) 527-6735
Mailing address
1100 SONOMA AVE, SUITE A2, SANTA ROSA, CA 95405-8901
(707) 527-0363
(707) 527-6735
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23353
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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