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3378 Sacramento St San Francisco CA 94118-1912 | |
| (415) 752-0654 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3378 Sacramento St, San Francisco, 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 | 3378 Sacramento St San Francisco CA 94118-1912 Ph: (415) 752-0654 |
| NPI Number | 1154159770 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154159770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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