Individual provider · Type 1 NPI

Gregory Blake Apostle

Pediatric Dentistry · Santa Rosa, CA

NPI number 1164526521 Active

Practice location

95 Montgomery Dr, #210
Santa Rosa, CA 95404

Fax (707) 544-7041

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X42114 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1164526521

Gregory Blake Apostle's National Provider Identifier is 1164526521, issued on Sep 7, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.