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 |
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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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