| Kalika Redwood Dental Practice | |
|
160 Birch St Redwood City CA 94062-1307 | |
| (916) 297-6600 | |
| Not Available |
| Full Name | Kalika Redwood Dental Practice |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 160 Birch St, Redwood City, California |
| Authorized Official Name and Position | Yan Kalika (OWNER) |
| Authorized Official Contact | 9162976600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalika Redwood Dental Practice 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 297-6600 | Kalika Redwood Dental Practice 160 Birch St Redwood City CA 94062-1307 Ph: (916) 297-6600 |
| NPI Number | 1619590718 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619590718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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