Individual
JACQUELINE GOPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 472-4514
Mailing address
717 N MCDOWELL BLVD SPC 506, PETALUMA, CA 94954-1433
(707) 514-9055
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29291
CA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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