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140 Stony Point Rd Ste A Santa Rosa CA 95401-4121 | |
| (916) 259-9255 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 140 Stony Point Rd Ste A, Santa Rosa, California |
| Authorized Official Name and Position | Yan Kalika (PRESIDENT) |
| Authorized Official Contact | 9162976603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 259-9255 | 140 Stony Point Rd Ste A Santa Rosa CA 95401-4121 Ph: (916) 259-9255 |
| NPI Number | 1053138396 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053138396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
Stephanie Settimi Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405 Phone: 707-542-7299 |