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Search › California › 1223E0200X

Jared Fortman, DDS

NPI 1922193838 · on the registry since 2006 · sole proprietor

Practice

Address
1100 Sonoma Ave
Ste B
Santa Rosa, CA 95405
Phone
(707) 527-9170
Fax
(707) 527-0255
Organisation at this address
John I. Rich, Dds, Inc.
Wyatt Dental Corporation
Greg Mlynarczyk Dds., Inc
Joanne Ngo & Tina Ngo, Dds, Inc.
Ellefson & Marelich Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-05

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