Yan Kalika Dental Corporation | |
582 Center Ave Martinez CA 94553-4600 | |
(510) 626-0111 | |
Not Available |
Full Name | Yan Kalika Dental Corporation |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 582 Center Ave, Martinez, California |
Authorized Official Name and Position | Yan Kalika (PRESIDENT) |
Authorized Official Contact | 9162976603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yan Kalika Dental Corporation 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 297-6603 | Yan Kalika Dental Corporation 582 Center Ave Martinez CA 94553-4600 Ph: (510) 626-0111 |
NPI Number | 1164076410 |
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Provider Enumeration Date | 07/25/2019 |
Last Update Date | 07/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164076410 | 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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