| Golden State Smiles | |
|
5130 Stevens Creek Blvd # B San Jose CA 95129-1019 | |
| (408) 557-9830 | |
| (916) 384-3844 |
| Full Name | Golden State Smiles |
|---|---|
| Speciality | Dentist |
| Location | 5130 Stevens Creek Blvd # B, San Jose, 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 |
|---|---|
| Golden State Smiles 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 702-1213 | Golden State Smiles 5130 Stevens Creek Blvd # B San Jose CA 95129-1019 Ph: (408) 557-9830 |
| NPI Number | 1023593118 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 10/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023593118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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