| NPI | 1740008614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KALIKA President 916-297-6603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 1223E0200X Dentist Endodontics | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-11-13 |