NPI | 1902296809 |
---|---|
Doing Business As | GOLDEN STATE DENTISTRY |
Entity Type | Organization |
Authorized Contact | TATYANA L. YASHCHUK Dds 925-705-7093 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49255) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-11-17 |