Dinu A Gray/Myrna Menjivar Gray
LBN: Petaluma Valley Dental
Dinu A Gray/Myrna Menjivar Gray is an health care organization with primary practice located at 701 Sonoma Mountain Pkwy Suite E 1, Petaluma CA 94954-8518. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Petaluma Valley Dental can be contacted via phone (707) 782-0789, or through Menjivar, Myrna via phone (415) 299-9566.
Contact Information
Primary practice address
701 Sonoma Mountain Pkwy Suite E 1
Petaluma CA 94954-8518
Phone: (707) 782-0789
Fax: (707) 782-9133
Website:
Authorized official contact:
Name: Menjivar, Myrna Doctor of Dental Surgery (DDS)
Phone: (415) 299-9566
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30461 | California |
| Dental Providers / General Practice | 1223G0001X | 30433 | California |
Profile Details
| NPI number | 1356438311 |
|---|---|
| LBN Legal business name | Petaluma Valley Dental |
| DBA Doing business as | Dinu A Gray/Myrna Menjivar Gray |
| Authorized official | Menjivar, Myrna Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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