| Yan Kalika Dental Corporation | |
|
3075 Beacon Blvd West Sacramento CA 95691-3462 | |
| (916) 702-1213 | |
| Not Available |
| Full Name | Yan Kalika Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3075 Beacon Blvd, West Sacramento, California |
| Authorized Official Name and Position | Yan Kalika (PRESIDENT) |
| Authorized Official Contact | 9162976600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yan Kalika Dental Corporation Po Box 340129 Sacramento CA 95834-0129 Ph: (916) 419-9939 | Yan Kalika Dental Corporation 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 702-1213 |
| NPI Number | 1861823585 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861823585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 45886 (California) | Primary |
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