| NPI | 1790503506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KALIKA President 916-297-6603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |