| Golden State Dentistry | |
|
2161 Ygnacio Valley Rd Ste 101 Walnut Creek CA 94598-3342 | |
| (925) 705-7093 | |
| (925) 952-7050 |
| Full Name | Golden State Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2161 Ygnacio Valley Rd Ste 101, Walnut Creek, California |
| Authorized Official Name and Position | Tatyana Lvovna Yashchuk (CHIEF DENTIST/OWNER) |
| Authorized Official Contact | 5102307270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden State Dentistry 2161 Ygnacio Valley Rd Ste 101 Walnut Creek CA 94598-3342 Ph: (925) 705-7093 | Golden State Dentistry 2161 Ygnacio Valley Rd Ste 101 Walnut Creek CA 94598-3342 Ph: (925) 705-7093 |
| NPI Number | 1053072587 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053072587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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