Organization
DENTAL GROUP OF EMINE LOXLEY, DDS, INC
Active
Other names
NorCal Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMINE LOXLEY DMD (DENTIST)
(541) 419-1211
Entity
Organization
Contact information
Practice address
1144 SONOMA AVE, #107, SANTA ROSA, CA 95405-4812
(707) 579-5533
Mailing address
1144 SONOMA AVE, #107, SANTA ROSA, CA 95405-4812
(707) 579-5533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57813
CA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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