Provider Demographics
NPI:1376637520
Name:WESTERBERG, LINNEA JOANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINNEA
Middle Name:JOANNE
Last Name:WESTERBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 SONOMA AVE
Mailing Address - Street 2:#16
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404
Mailing Address - Country:US
Mailing Address - Phone:707-571-7890
Mailing Address - Fax:707-571-7908
Practice Address - Street 1:990 SONOMA AVE
Practice Address - Street 2:#16
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404
Practice Address - Country:US
Practice Address - Phone:707-571-7890
Practice Address - Fax:707-571-7908
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42483122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist