Organization
DR.ROBERT E.JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION
Active
Other names
Windsor Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ELTON JARVIS II DDS (OWNER/DOCTOR)
(707) 838-8836
Entity
Organization
Contact information
Practice address
8741 BROOKS RD S, SUITE #101, WINDSOR, CA 95492-7853
(707) 838-8836
(707) 838-1858
Mailing address
8741 BROOKS RD S, SUITE #101, WINDSOR, CA 95492-7853
(707) 838-8836
(707) 838-1858
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
CA29956
CA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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