| |
1851 Sutter St Concord CA 94520-2559 | |
(925) 827-2798 | |
(916) 384-3844 |
Full Name | |
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Speciality | Dentist |
Location | 1851 Sutter St, Concord, California |
Authorized Official Name and Position | Yan Kalika (OWNER) |
Authorized Official Contact | 9167021213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3075 Beacon Blvd W Sacramento CA 95691-3462 Ph: (916) 702-1213 | 1851 Sutter St Concord CA 94520-2559 Ph: (925) 827-2798 |
NPI Number | 1649747577 |
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Provider Enumeration Date | 10/29/2018 |
Last Update Date | 10/30/2018 |
Identifier | Type | State | Issuer |
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1649747577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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