| Coloma Dental Office Of Ruslan Zmievschi, Inc | |
|
7170 Highway Ca-49,suite 3 Lotus CA 95651-9565 | |
| (530) 621-0900 | |
| Not Available |
| Full Name | Coloma Dental Office Of Ruslan Zmievschi, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7170 Highway Ca-49,suite 3, Lotus, California |
| Authorized Official Name and Position | Ruslan Dental Zmievschi (OWNER) |
| Authorized Official Contact | 5306210900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coloma Dental Office Of Ruslan Zmievschi, Inc Po Box 944 Lotus CA 95651-0944 Ph: () - | Coloma Dental Office Of Ruslan Zmievschi, Inc 7170 Highway Ca-49,suite 3 Lotus CA 95651-9565 Ph: (530) 621-0900 |
| NPI Number | 1184249583 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184249583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |