| G.c. Dorostkar, Dds,pc | |
|
650 E Blithedale Ave Suite C Mill Valley CA 94941-1478 | |
| (415) 461-0414 | |
| Not Available |
| Full Name | G.c. Dorostkar, Dds,pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 650 E Blithedale Ave, Mill Valley, California |
| Authorized Official Name and Position | Deborah Coley (EXECUTIVE MANAGER) |
| Authorized Official Contact | 4154610414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.c. Dorostkar, Dds,pc 650 E Blithedale Ave Suite C Mill Valley CA 94941-1478 Ph: (415) 461-0414 | G.c. Dorostkar, Dds,pc 650 E Blithedale Ave Suite C Mill Valley CA 94941-1478 Ph: (415) 461-0414 |
| NPI Number | 1881138303 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881138303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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