Organization
CARLOS FLORES LAVENANT DDS INC
Active
Other names
MC Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS FLORES LAVENANT DDS (DDS)
(707) 484-9251
Entity
Organization
Contact information
Practice address
3918 PRINCETON DR, SANTA ROSA, CA 95405-7014
(707) 595-7500
Mailing address
3918 PRINCETON DR, SANTA ROSA, CA 95405-7014
(707) 595-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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