Organization
BRIAN K SIBBALD DDS INC
Active
Other names
Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K SIBBALD DDS (DENTIST)
(707) 762-5363
Entity
Organization
Contact information
Practice address
8 W EL ROSE DR, PETALUMA, CA 94952
(707) 762-5363
(707) 762-5116
Mailing address
8 W EL ROSE DR, PETALUMA, CA 94952
(707) 762-5363
(707) 762-5116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23669
CA
Other
Enumeration date
08/04/2006
Last updated
10/16/2007
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