SearchCalifornia1223S0112X

Jiries Mogannam, D.D.S., M.D

NPI 1609056878 · on the registry since 2007 · sole proprietor

Practice

Address
1111 Sonoma Ave
Suite #220
Santa Rosa, CA 95405
Phone
(707) 566-7300
Organisation at this address
Women'S Obgyn
Hine Dds Corp
Ramos Dental, Pc
Kristen Yee Md Pc
Peter J Marincovich
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
204E00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California