Healthcare Provider Details

I. General information

NPI: 1083518674
Provider Name (Legal Business Name): ALMA DENTAL CARE A DENTAL OFFICE OF RICHARD HADA DMD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 LYNCH CREEK WAY STE C
PETALUMA CA
94954-2391
US

IV. Provider business mailing address

131 LYNCH CREEK WAY STE C
PETALUMA CA
94954-2391
US

V. Phone/Fax

Practice location:
  • Phone: 707-762-6645
  • Fax: 707-981-0022
Mailing address:
  • Phone: 707-762-6645
  • Fax: 707-981-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KARMEN GREGORY
Title or Position: OFFICE MANAGER
Credential:
Phone: 707-762-6645